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同期经导管经股动脉双侧自体瓣膜置换术治疗严重主动脉瓣狭窄伴二尖瓣瓣环钙化并严重二尖瓣狭窄。

Concomitant transcatheter transfemoral double native valve replacement for severe aortic stenosis and severe mitral stenosis with mitral annular calcification.

机构信息

Cardiac Anaesthesia, EHCC, Jaipur, Rajasthan, India.

Structural Heart Diseases, EHCC, Jaipur, Rajasthan, India.

出版信息

Ann Card Anaesth. 2023 Jan-Mar;26(1):78-82. doi: 10.4103/aca.aca_10_21.

Abstract

Concomitant mitral and aortic valve stenosis in a patient with mitral annular calcification and porcelain aorta poses a unique problem to the surgical team. Transcatheter aortic and mitral valve replacements in native valves offer a viable option for such selected group of patients. We present the case of a 54-year-old male who presented with severe aortic stenosis (AS) and severe mitral stenosis (MS) but was deemed high risk for surgery owing to intense calcification of the aorta and mitral annular calcification, and successfully underwent transcatheter double native valve replacement.

摘要

在二尖瓣环钙化和瓷主动脉的患者中同时存在二尖瓣和主动脉瓣狭窄,给外科团队带来了独特的问题。经导管主动脉瓣和二尖瓣置换术在原生瓣膜中为这类特定患者提供了可行的选择。我们报告了一名 54 岁男性的病例,该患者患有严重的主动脉瓣狭窄(AS)和严重的二尖瓣狭窄(MS),但由于主动脉和二尖瓣环钙化严重,手术风险较高,成功地接受了经导管双原生瓣膜置换术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ce1/9997457/300c79e01ed6/ACA-26-78-g001.jpg

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