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妊娠期严重症状性主动脉瓣狭窄的治疗：经导管主动脉瓣置换术（TAVR）是否具有潜在作用？

Treatment of Severe Symptomatic Aortic Stenosis During Pregnancy: A Potential Role for TAVR?

作者信息

Panah Lindsay G, O'Leary Jared, Levack Melissa, Brennan Kaitlyn, Osmundson Sarah, Thompson Jennifer, Lindley Kathryn

机构信息

Department of Medicine, Division of Cardiology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.

Department of Cardiac Surgery, Section of Surgical Sciences, Vanderbilt University Medical Center, Nashville, Tennessee, USA.

出版信息

JACC Case Rep. 2023 Nov 23;28:102134. doi: 10.1016/j.jaccas.2023.102134. eCollection 2023 Dec 20.

DOI:10.1016/j.jaccas.2023.102134
PMID:38204540
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10774886/
Abstract

A 35-year-old woman presented at 22 weeks gestation with severe symptomatic aortic stenosis with a mean gradient of 94 mm Hg and an aortic valve area of 0.53 cm. After multidisciplinary discussion, she underwent transcatheter aortic valve replacement during pregnancy.

摘要

一名35岁女性在妊娠22周时因严重症状性主动脉瓣狭窄就诊，平均压差为94毫米汞柱，主动脉瓣面积为0.53平方厘米。经过多学科讨论后，她在孕期接受了经导管主动脉瓣置换术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1217/10774886/0ddec4c68f8b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1217/10774886/941a5d50557c/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1217/10774886/bc16ce2e60bb/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1217/10774886/0ddec4c68f8b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1217/10774886/941a5d50557c/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1217/10774886/bc16ce2e60bb/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1217/10774886/0ddec4c68f8b/gr2.jpg

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本文引用的文献

1
Catheter-Based Interventions for the Management of Valvular Heart Disease During Pregnancy.基于导管的干预措施在妊娠期心脏瓣膜病管理中的应用
JACC Adv. 2022 Apr 27;1(2):100022. doi: 10.1016/j.jacadv.2022.100022. eCollection 2022 Jun.
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Timing of cardiac surgery during pregnancy: a patient-level meta-analysis.妊娠期心脏手术时机：一项基于患者的荟萃分析。
Eur Heart J. 2022 Aug 1;43(29):2801-2811. doi: 10.1093/eurheartj/ehac234.
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Management of Women With Congenital or Inherited Cardiovascular Disease From Pre-Conception Through Pregnancy and Postpartum: JACC Focus Seminar 2/5.
先天性或遗传性心血管疾病女性患者的孕前、孕期和产后管理：美国心脏病学会焦点研讨会 2/5。
J Am Coll Cardiol. 2021 Apr 13;77(14):1778-1798. doi: 10.1016/j.jacc.2021.02.026.
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ACOG Committee Opinion No. 775: Nonobstetric Surgery During Pregnancy.美国妇产科医师学会委员会意见第 775 号：妊娠期非产科手术。
Obstet Gynecol. 2019 Apr;133(4):e285-e286. doi: 10.1097/AOG.0000000000003174.
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Risk of Pregnancy in Moderate and Severe Aortic Stenosis: From the Multinational ROPAC Registry.中重度主动脉瓣狭窄患者的妊娠风险：来自多国 ROPAC 注册研究。
J Am Coll Cardiol. 2016 Oct 18;68(16):1727-1737. doi: 10.1016/j.jacc.2016.07.750.
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Echocardiographic Evaluation of Hemodynamic Changes in Left-Sided Heart Valves in Pregnant Women With Valvular Heart Disease.超声心动图评估患有瓣膜性心脏病的孕妇左侧心脏瓣膜血流动力学变化
Am J Cardiol. 2016 Oct 1;118(7):1046-52. doi: 10.1016/j.amjcard.2016.07.005. Epub 2016 Jul 18.
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Early and intermediate-term outcomes of pregnancy with congenital aortic stenosis.
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Cardiopulmonary bypass in pregnancy.妊娠期体外循环
Ann Thorac Surg. 1996 Jan;61(1):259-68. doi: 10.1016/0003-4975(95)00818-7.