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.
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.
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。
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