Zhang Qing, Xu Yao, Wang Hao, Pang Xuelian, Meng Qingfeng
Department of Cardiology, Qilu Hospital of Shandong University, Qingdao, People's Republic of China.
Int Med Case Rep J. 2024 Jul 29;17:719-723. doi: 10.2147/IMCRJ.S456154. eCollection 2024.
Transcatheter aortic valve replacement (TAVR) has been recently indicated for the treatment of patients with severe aortic stenosis in all risk profiles. At present, TAVR has become mature at home and abroad, but the relevant experience is deficient in the treatment of aortic valve stenosis with outflow tract stenosis. One case of a high-risk surgical patient was included in this paper who suffered from severe aortic valve stenosis with left ventricular outflow tract (LVOT) stenosis. In this case, TAVR was performed with deep implantation of a new valve and both aortic valve stenosis and LVOT stenosis were treated through a single TAVR procedure. This case highlights the vital role of such treatment in dealing with both aortic valve stenosis and LVOT stenosis through a single TAVR procedure, thus providing valuable information for similar cases.
经导管主动脉瓣置换术（TAVR）最近已被用于治疗所有风险特征的严重主动脉瓣狭窄患者。目前，TAVR在国内外已趋于成熟，但在治疗合并流出道狭窄的主动脉瓣狭窄方面相关经验不足。本文纳入了1例高危手术患者，该患者患有严重主动脉瓣狭窄合并左心室流出道（LVOT）狭窄。在此病例中，通过深植入新瓣膜进行了TAVR，通过单一的TAVR手术同时治疗了主动脉瓣狭窄和LVOT狭窄。该病例突出了这种治疗方法在通过单一TAVR手术处理主动脉瓣狭窄和LVOT狭窄方面的重要作用，从而为类似病例提供了有价值的信息。
