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经导管主动脉瓣置换术并发主动脉-右心室瘘，通过瓣中瓣置换术修复。

Transcatheter Aortic Valve Replacement Complicated by Aorto-Right Ventricular Fistula Repaired Via Valve-in-Valve Replacement.

作者信息

Masarweh Omar M, Ghaffar Anusha, Lopez-Orizondo Stephanie, Karasik Olga, John Jooby

机构信息

University of Central Florida/HCA Healthcare GME, Greater Orlando, Florida, USA.

Department of Internal Medicine, University of Central Florida College of Medicine, Orlando, Florida, USA.

出版信息

JACC Case Rep. 2023 Dec 15;29(2):102165. doi: 10.1016/j.jaccas.2023.102165. eCollection 2024 Jan 17.

DOI:10.1016/j.jaccas.2023.102165
PMID:38264302
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10801795/
Abstract

A 59-year-old man with a history of severe aortic stenosis with transcatheter aortic valve replacement (TAVR) presented with worsening heart failure. Echocardiography showed a fistula between the aorta and the right ventricle with mild to moderate paravalvular regurgitation. He underwent a valve-in-valve TAVR with symptomatic improvement and decreased flow through the fistula.

摘要

一名有严重主动脉瓣狭窄病史且接受过经导管主动脉瓣置换术（TAVR）的59岁男性，出现心力衰竭加重。超声心动图显示主动脉与右心室之间存在瘘管，伴有轻至中度瓣周反流。他接受了瓣中瓣TAVR，症状改善，瘘管处血流减少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eda3/10801795/478f1ae07736/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eda3/10801795/644680939672/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eda3/10801795/db0491239c6f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eda3/10801795/478f1ae07736/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eda3/10801795/644680939672/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eda3/10801795/db0491239c6f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eda3/10801795/478f1ae07736/gr2.jpg

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本文引用的文献

1
Successful percutaneous closure of aortic root-to-right ventricle fistula after transcatheter aortic valve implantation: a valuable option in high-risk surgical patients.经导管主动脉瓣植入术后成功经皮闭合主动脉根部至右心室瘘：高危手术患者的一个有价值的选择。
Eur Heart J Case Rep. 2022 Feb 22;6(3):ytac094. doi: 10.1093/ehjcr/ytac094. eCollection 2022 Mar.
2
Aorto-Right Ventricular Fistula and Paravalvular Leak After Transcatheter Aortic Valve Implantation.经导管主动脉瓣植入术后的主动脉-右心室瘘和瓣周漏
JACC Case Rep. 2019 Dec 18;1(5):859-864. doi: 10.1016/j.jaccas.2019.11.025.
3
Aorto-right Ventricular Fistula Following Percutaneous Transcatheter Aortic Valve Replacement: Case Report and Literature Review.
经皮导管主动脉瓣置换术后主动脉-右心室瘘：病例报告及文献复习
Heart Views. 2017 Oct-Dec;18(4):133-136. doi: 10.4103/HEARTVIEWS.HEARTVIEWS_115_16.
4
Annular rupture during transcatheter aortic valve replacement: classification, pathophysiology, diagnostics, treatment approaches, and prevention.经导管主动脉瓣置换术中的瓣环撕裂：分类、病理生理学、诊断、治疗方法和预防。
JACC Cardiovasc Interv. 2015 Jan;8(1 Pt A):1-9. doi: 10.1016/j.jcin.2014.07.020.