挑战性主动脉疾病的经导管治疗：在合并主动脉缩窄支架置入的极度水平主动脉根部进行经导管主动脉瓣置换术

Transcatheter Therapies in Challenging Aortic Ailments: TAVR in Extreme Horizontal Aortic Root With CoA Stenting.

作者信息

Marchese Alfredo, Tito Antonio, Resta Fabrizio, Tarantini Giuseppe

机构信息

Santa Maria Hospital, GVM Care & Research, Bari, Italy.

Department of Cardiac, Thoracic, and Vascular Sciences, University of Padua, Padua, Italy.

出版信息

JACC Case Rep. 2021 Jun 16;3(6):905-909. doi: 10.1016/j.jaccas.2021.04.006. eCollection 2021 Jun.

Transcatheter aortic valve replacement (TAVR) for severe aortic stenosis in older adults may be challenging because of additional aortic comorbidities such as aortic coarctation (CoA). We report successful snared-assisted transfemoral TAVR in a patient with an extremely horizontal ventriculoaortic axis that was worsened by a previous endovascular repair of complex CoA. ().