经导管主动脉瓣置换术恢复肝硬化患者肝移植的候选资格
Transcatheter Aortic Valve Replacement Restoring Candidacy for Liver Transplant in Patients With Cirrhosis.
作者信息
Kaafarani Mirna, Shamma Omar, Jafri Syed-Mohammed
机构信息
Wayne State University School of Medicine, Detroit, MI.
Department of Gastroenterology and Hepatology, Henry Ford Health System, Detroit, MI.
出版信息
ACG Case Rep J. 2023 Aug 17;10(8):e01102. doi: 10.14309/crj.0000000000001102. eCollection 2023 Aug.
Abstract
Guidelines for preoperative workup for an orthotopic liver transplant often rule out patients with severe aortic stenosis as transplant candidates. This case illustrates the potential of transcatheter aortic valve replacement (TAVR) as a bridge for liver transplants in cirrhotic patients with severe aortic stenosis. The 1-year and 2-year post-liver transplant follow-ups showed no complications in the patient's prosthetic aortic valves, and graft survival was 100% with no evidence of rejection. Notable post-transplant recovery involved medical complications that were not related to the liver function or surgical procedure.
摘要
原位肝移植术前检查指南通常将严重主动脉瓣狭窄患者排除在移植候选者之外。本病例说明了经导管主动脉瓣置换术（TAVR）作为患有严重主动脉瓣狭窄的肝硬化患者肝移植桥梁的可能性。肝移植术后1年和2年的随访显示，患者的人工主动脉瓣无并发症，移植肝存活率为100%，无排斥反应迹象。值得注意的是，移植后的恢复涉及与肝功能或手术无关的医学并发症。
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