经导管主动脉瓣植入术与适应性伺服通气联合治疗主动脉瓣狭窄和心力衰竭患者。
Combination therapy using trans-catheter aortic valve implantation and adaptive servo-ventilation in patient with aortic stenosis and heart failure.
作者信息
Imamura Teruhiko, Hori Masakazu, Tanaka Shuhei, Fukuda Nobuyuki, Sobajima Mitsuo, Ueno Hiroshi, Kinugawa Koichiro
机构信息
The Second Department of Internal Medicine, University of Toyama, 2630 Sugitani, Toyama, Toyama 930-0194, Japan.
出版信息
J Cardiol Cases. 2020 Nov 18;23(5):224-226. doi: 10.1016/j.jccase.2020.11.002. eCollection 2021 May.
Severe aortic stenosis sometimes accompanies advanced heart failure with reduced cardiac contractility (i.e. low-flow low-gradient aortic stenosis). The therapeutic strategy for the remaining heart failure following trans-catheter aortic valve implantation remains unknown. An 84-year-old man with six hospitalizations due to aortic stenosis and congestive heart failure with reduced ejection fraction was admitted to our institute. Heart failure remained following trans-catheter aortic valve implantation. Additional adaptive servo-ventilation therapy with optimal pressure setting determined by the ramp test further improved his heart failure symptoms. Combination therapy using trans-catheter aortic valve implantation and adaptive servo-ventilation might be a promising therapeutic tool to ameliorate heart failure with severe aortic stenosis. <; Adaptive servo-ventilation might be a promising therapy in patients with persistent congestive heart failure following trans-catheter aortic valve implantation for severe aortic stenosis.>.
严重主动脉瓣狭窄有时会伴有心脏收缩力降低的晚期心力衰竭（即低流量低梯度主动脉瓣狭窄）。经导管主动脉瓣植入术后剩余心力衰竭的治疗策略仍不明确。一名84岁男性因主动脉瓣狭窄和射血分数降低的充血性心力衰竭住院6次，入住我院。经导管主动脉瓣植入术后仍存在心力衰竭。通过斜坡试验确定最佳压力设置的额外适应性伺服通气治疗进一步改善了他的心力衰竭症状。经导管主动脉瓣植入术和适应性伺服通气的联合治疗可能是改善严重主动脉瓣狭窄心力衰竭的一种有前景的治疗手段。<适应性伺服通气可能是严重主动脉瓣狭窄经导管主动脉瓣植入术后持续性充血性心力衰竭患者的一种有前景的治疗方法。>
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