经心尖主动脉瓣植入术治疗主动脉瓣四叶畸形伴主动脉瓣反流的 J-Valve 系统：病例报告。
Trans-apical aortic valve implantation for quadricuspid aortic valve with aortic regurgitation using J-valve system: a case reports.
机构信息
Department of Cardiology, the First Affiliated Hospital of Xi'an Jiaotong University, 277 Yanta West Road, Xi'an, Shaanxi, 710061, People's Republic of China.
Department of Cardiovascular Surgery, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, People's Republic of China.
出版信息
J Cardiothorac Surg. 2021 Aug 3;16(1):215. doi: 10.1186/s13019-021-01586-9.
BACKGROUND
Quadricuspid aortic valve (QAV) is a rare congenital heart defect usually accompanied with different hemodynamic abnormalities. Due to the rarity of QAV, treatment and prognosis of QAV patients with aortic regurgitation still remain challenging. We here present the first case of a patient with severe QAV regurgitation who underwent successful treatment and performed favorable prognosis with transapical aortic valve implantation (TAVI) using J-Valve system.
CASE PRESENTATION
A 62-year-old man experienced intermittent palpitation, shortness of breath and chest pain. Echocardiography revealed congenital QAV with massive aortic regurgitation and mild aortic stenosis, left ventricular enlargement. Aortic valve replacement was successfully performed with TAVI using J-Valve system. The postoperation and follow-up was uneventful.
CONCLUSION
TAVI using J-Valve system has emerged as a new high success rate method for treatment of patients with simple non-calcified aortic valve insufficiency.
背景
四叶式主动脉瓣（QAV）是一种罕见的先天性心脏缺陷，通常伴有不同的血流动力学异常。由于 QAV 较为罕见，因此主动脉瓣反流的 QAV 患者的治疗和预后仍然具有挑战性。我们在此报告首例使用 J-Valve 系统行经心尖主动脉瓣植入术（TAVI）成功治疗并取得良好预后的严重 QAV 反流患者。
病例介绍
一名 62 岁男性间歇性出现心悸、呼吸急促和胸痛。超声心动图显示先天性 QAV 伴大量主动脉瓣反流和轻度主动脉瓣狭窄，左心室扩大。使用 J-Valve 系统成功进行了 TAVI 主动脉瓣置换术。术后及随访过程顺利。
结论
J-Valve 系统 TAVI 已成为治疗单纯非钙化性主动脉瓣关闭不全患者的一种新的高成功率方法。
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