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同种异体移植失败后的经导管主动脉瓣植入术(TAV-in-TAV):对一名曾接受过3次胸骨切开术的患者进行再次经导管主动脉瓣植入术

TAV-in-TAV in Failed Homograft: Redo TAVI in a Patient With 3 Previous Sternotomies.

作者信息

Hatab Taha, Zaid Syed, Wessly Priscilla, Reardon Michael J, Atkins Marvin D, Faza Nadeen, Little Stephen H, Kleiman Neal S, Goel Sachin S

机构信息

Houston Methodist DeBakey Heart and Vascular Center, Houston, Texas, USA.

Department of Cardiovascular Surgery, Houston Methodist Hospital, Houston, Texas, USA.

出版信息

JACC Case Rep. 2023 Aug 12;22:101973. doi: 10.1016/j.jaccas.2023.101973. eCollection 2023 Sep 20.

Abstract

A 59-year-old male patient with history of rheumatic heart disease with 3 previous surgical aortic valve replacements with the last one being homograft followed by transcatheter aortic valve implantation in failed homograft presented with severe aortic regurgitation and cardiogenic shock requiring urgent TAV-in-TAV-in homograft. ().

摘要

一名59岁男性患者,有风湿性心脏病病史,曾接受过3次主动脉瓣置换手术,最后一次使用的是同种异体移植瓣膜,之后在同种异体移植瓣膜功能衰竭时进行了经导管主动脉瓣植入术,现出现严重主动脉瓣反流和心源性休克,需要紧急在同种异体移植瓣膜内行经导管主动脉瓣植入术(TAV-in-TAV-in)。()

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a94b/10544086/9b15db8da92c/ga1.jpg

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