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病例报告：经导管主动脉瓣置换术和经皮心肌间隔射频消融术对一名主动脉瓣狭窄合并肥厚性梗阻性心肌病患者的微创治疗：两年随访结果

Case Report: Minimally Invasive Therapy by Transcatheter Aortic Valve Replacement and Percutaneous Intramyocardial Septal Radiofrequency Ablation for a Patient With Aortic Stenosis Combined With Hypertrophic Obstructive Cardiomyopathy: Two-Year Follow-Up Results.

作者信息

Li Yijian, Feng Yuan, Li Xi, Zuo Lei, Gu Tao, Liu Liwen, Chen Mao

机构信息

Department of Cardiology, West China Hospital of Sichuan University, Chengdu, China.

Department of Ultrasound, Xijing Hypertrophic Cardiomyopathy Center, Xijing Hospital, Fourth Military Medical University, Xi'an, China.

出版信息

Front Cardiovasc Med. 2021 Sep 20;8:735219. doi: 10.3389/fcvm.2021.735219. eCollection 2021.

DOI:10.3389/fcvm.2021.735219
PMID:34616787
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8488101/
Abstract

With the development of minimally invasive technologies in the medical field, more and more technologies can replace surgical thoracotomy and relieve the pain of disease via minimally invasive methods. We reported a case of aortic valve stenosis combined with left ventricular outflow track obstruction treated by two minimally invasive techniques, transcatheter aortic valve replacement and transthoracic echocardiography-guided percutaneous intramyocardial septal radiofrequency ablation, and followed up for 2 years.

摘要

随着医学领域微创技术的发展，越来越多的技术能够取代开胸手术，并通过微创方法缓解疾病带来的痛苦。我们报道了一例主动脉瓣狭窄合并左心室流出道梗阻的病例，采用经导管主动脉瓣置换术和经胸超声心动图引导下经皮心肌间隔射频消融术这两种微创技术进行治疗，并随访了2年。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebc3/8488101/8a1749eebec6/fcvm-08-735219-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebc3/8488101/42c2c3e84ec6/fcvm-08-735219-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebc3/8488101/29b2bcb358f5/fcvm-08-735219-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebc3/8488101/dbfee905c8d7/fcvm-08-735219-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebc3/8488101/12244d011bf4/fcvm-08-735219-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebc3/8488101/8a1749eebec6/fcvm-08-735219-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebc3/8488101/42c2c3e84ec6/fcvm-08-735219-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebc3/8488101/29b2bcb358f5/fcvm-08-735219-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebc3/8488101/dbfee905c8d7/fcvm-08-735219-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebc3/8488101/12244d011bf4/fcvm-08-735219-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebc3/8488101/8a1749eebec6/fcvm-08-735219-g0005.jpg

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Alcohol septal ablation in patients with concomitant hypertrophic cardiomyopathy and aortic valvular stenosis.酒精室间隔消融术治疗同时合并肥厚型心肌病和主动脉瓣狭窄的患者。
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梗阻性肥厚型心肌病患者的射频消融：一项系统评价和荟萃分析。
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酒精室间隔消融术治疗肥厚型梗阻性心肌病患者的生存情况。
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Percutaneous Intramyocardial Septal Radiofrequency Ablation for Hypertrophic Obstructive Cardiomyopathy.经皮心肌内室间隔射频消融治疗肥厚型梗阻性心肌病。
J Am Coll Cardiol. 2018 Oct 16;72(16):1898-1909. doi: 10.1016/j.jacc.2018.07.080.
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2017 ESC/EACTS Guidelines for the management of valvular heart disease.2017年欧洲心脏病学会/欧洲心胸外科学会瓣膜性心脏病管理指南。
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