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经导管主动脉瓣置换术治疗合并膜性室间隔瘤的单纯主动脉瓣反流

Pure Aortic Regurgitation Complicated by Membranous Interventricular Septum Aneurysm Treated With Transcatheter Aortic Valve Replacement.

作者信息

Kassis Jorge Jean, Mangione Fernanda M, Cristóvão Salvador A B, Zuliani Mauro Maria Fernanda, Acosta Melo Cíntia, Dutra Gustavo Alexandre, Menezes Alves da Costa Leandro, Alves da Costa Fernando, Mangione José Armando

机构信息

Beneficência Portuguesa de São Paulo Hospital, São Paulo, Brazil.

McMaster University, Ontario, Canada.

出版信息

JACC Case Rep. 2023 Mar 15;10:101762. doi: 10.1016/j.jaccas.2023.101762.

DOI:10.1016/j.jaccas.2023.101762
PMID:36974043
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10039378/
Abstract

An 89-year-old woman with severe aortic regurgitation and an aneurysmal interventricular membranous septum extending into the aortic annulus underwent successful transcatheter aortic valve replacement. A challenging case because of the risk of valve mispositioning complications attributed to the co-occurrence of pure aortic regurgitation (very low calcium burden) with an aneurysmal interventricular membranous septum. ().

摘要

一名89岁女性，患有严重主动脉瓣反流以及延伸至主动脉瓣环的室间隔膜部瘤，成功接受了经导管主动脉瓣置换术。这是一个具有挑战性的病例，原因是单纯主动脉瓣反流（钙化负荷极低）与室间隔膜部瘤并存会带来瓣膜错位并发症的风险。（）

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c4b/10039378/9c40a772afbb/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c4b/10039378/ff31c9d72b9a/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c4b/10039378/d3954505c038/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c4b/10039378/35f6ee4bc9a0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c4b/10039378/6572bc185320/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c4b/10039378/9c40a772afbb/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c4b/10039378/ff31c9d72b9a/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c4b/10039378/d3954505c038/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c4b/10039378/35f6ee4bc9a0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c4b/10039378/6572bc185320/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c4b/10039378/9c40a772afbb/gr4.jpg

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本文引用的文献

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Transcatheter Aortic Valve Replacement in Pure Native Aortic Valve Regurgitation.经导管主动脉瓣置换术治疗单纯性主动脉瓣反流。
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Aneurysm of the membranous ventricular septum causing obstruction of the right ventricular outflow tract in a case of ventricular septal defect.
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Characterization of aneurysmal transformation in perimembranous ventricular septal defects: an adhered anterior leaflet of tricuspid valve predisposes to the development of left ventricular-to-right atrial shunt.膜周部室间隔缺损动脉瘤样转变的特征：三尖瓣前叶粘连易导致左心室向右心房分流的发生。
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Br Heart J. 1981 Dec;46(6):636-42. doi: 10.1136/hrt.46.6.636.
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Radiologic patterns of aneurysms of the membraneous septum.
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