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经导管主动脉瓣故意错位以保留对异常起源冠状动脉的再次入路。

Intentional Misalignment of a Transcatheter Aortic Valve to Preserve Reaccess to Coronaries of Anomalous Origin.

作者信息

Costa Giuliano, Sgroi Carmelo, Strazzieri Orazio, Reddavid Claudia, Valvo Roberto, Motta Silvia, Frittitta Valentina, Dipietro Elena, Tamburino Corrado, Barbanti Marco

机构信息

Division of Cardiology, A.O.U. Policlinico "G. Rodolico - San Marco", Catania, Italy.

出版信息

JACC Case Rep. 2022 Jan 19;4(2):83-86. doi: 10.1016/j.jaccas.2021.12.002.

DOI:10.1016/j.jaccas.2021.12.002
PMID:35106489
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8784705/
Abstract

Achieving patient-specific commissural alignment of transcatheter aortic valves is particularly important to ensure coronary reaccess after transcatheter aortic valve implantation. Nevertheless, in case of uncommon origin of coronary arteries, commissural alignment could be counterproductive. This case shows how alignment techniques could serve to intentionally misalign the neocommissures in this subset of patients. ().

摘要

实现经导管主动脉瓣的患者特异性瓣叶对合对于确保经导管主动脉瓣植入术后冠状动脉再入路尤为重要。然而，在冠状动脉起源不常见的情况下，瓣叶对合可能会适得其反。本病例展示了在这类患者中，对合技术如何可能导致人工瓣叶故意不对合。（）

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dded/8784705/8d635824da34/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dded/8784705/43484a775cb8/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dded/8784705/110f99d23459/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dded/8784705/8d635824da34/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dded/8784705/43484a775cb8/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dded/8784705/110f99d23459/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dded/8784705/8d635824da34/gr2.jpg

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本文引用的文献

1
Patient-Specific Implantation Technique to Obtain Neo-Commissural Alignment With Self-Expanding Transcatheter Aortic Valves.患者特异性植入技术实现自膨式经导管主动脉瓣的新交界对位。
JACC Cardiovasc Interv. 2021 Oct 11;14(19):2097-2108. doi: 10.1016/j.jcin.2021.06.033. Epub 2021 Sep 15.
2
Balloon-expandable versus self-expanding transcatheter aortic valve replacement: a comparison and evaluation of current findings.球囊扩张式与自膨胀式经导管主动脉瓣置换术：当前研究结果的比较与评估
Expert Rev Cardiovasc Ther. 2020 Oct;18(10):697-708. doi: 10.1080/14779072.2020.1807326. Epub 2020 Aug 13.
3
Alignment of Transcatheter Aortic-Valve Neo-Commissures (ALIGN TAVR): Impact on Final Valve Orientation and Coronary Artery Overlap.
经导管主动脉瓣置换术新交界对准（ALIGN TAVR）：对最终瓣叶方位和冠状动脉重叠的影响。
JACC Cardiovasc Interv. 2020 May 11;13(9):1030-1042. doi: 10.1016/j.jcin.2020.02.005. Epub 2020 Mar 16.
4
Does transcatheter aortic valve alignment matter?经导管主动脉瓣的对位是否重要？
Open Heart. 2019 Nov 21;6(2):e001132. doi: 10.1136/openhrt-2019-001132. eCollection 2019.
5
Coronary artery anomalies: an entity in search of an identity.冠状动脉异常：一个寻求明确身份的实体。
Circulation. 2007 Mar 13;115(10):1296-305. doi: 10.1161/CIRCULATIONAHA.106.618082.