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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.

DOI:10.1016/j.jaccas.2023.101973
PMID:37790767
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10544086/
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/10544086/6a63a05bec54/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a94b/10544086/9b15db8da92c/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a94b/10544086/6a63a05bec54/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a94b/10544086/9b15db8da92c/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a94b/10544086/6a63a05bec54/gr1.jpg

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引用本文的文献

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TAV-in-TAV and Beyond: How Far Can We Go?瓣中瓣及其他：我们能走多远？
JACC Case Rep. 2023 Aug 11;22:101974. doi: 10.1016/j.jaccas.2023.101974. eCollection 2023 Sep 20.

本文引用的文献

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Structural Valve Deterioration After Self-Expanding Transcatheter or Surgical Aortic Valve Implantation in Patients at Intermediate or High Risk.经皮自膨式或外科主动脉瓣置换术治疗中高危患者的结构性瓣膜衰败。
JAMA Cardiol. 2023 Feb 1;8(2):111-119. doi: 10.1001/jamacardio.2022.4627.
2
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.
3
Outcomes Following Urgent/Emergent Transcatheter Aortic Valve Replacement: Insights From the STS/ACC TVT Registry.
紧急/即刻经导管主动脉瓣置换术后的结局：STS/ACC TVT 注册研究的见解。
JACC Cardiovasc Interv. 2018 Jun 25;11(12):1175-1185. doi: 10.1016/j.jcin.2018.03.002. Epub 2018 Mar 11.
4
Valve-in-valve-in homograft: A case of a repeat transcatheter aortic valve replacement in a patient with an aortic homograft.带瓣同种异体移植物内再置入瓣膜：一例主动脉同种异体移植物患者再次经导管主动脉瓣置换术
Ann Card Anaesth. 2016 Oct-Dec;19(4):737-739. doi: 10.4103/0971-9784.191575.
5
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Circ Cardiovasc Interv. 2016 Sep;9(9). doi: 10.1161/CIRCINTERVENTIONS.116.003930.
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