左主干慢性完全闭塞和严重主动脉瓣狭窄
Chronic Total Occlusion of the Left Main and Severe Aortic Stenosis.
作者信息
Maiani Silvia, Sanna Francesco, Boi Alberto, Rossi Angelica, Riganelli Donovan, Valentino Luigi, Matta Gildo, Marceddu Alessandra, Pesarini Gabriele, Ribichini Flavio, Loi Bruno
机构信息
Clinical Cardiology, Department of Medical Science and Public Health, University of Cagliari, Monserrato, Italy.
Department of Interventional Cardiology, G. Brotzu Hospital, Cagliari, Italy.
出版信息
JACC Case Rep. 2024 Aug 7;29(15):102433. doi: 10.1016/j.jaccas.2024.102433.
Concomitant aortic stenosis and coronary artery disease in the elderly population is frequent and the proper therapeutic approach is a matter of debate. We present 2 challenging cases of patients affected by severe aortic stenosis and chronic total occlusion of the left main, demonstrating the safety and feasibility of transcatheter aortic valve replacement, performed both with balloon-expandable and self-expanding valves.
老年人群中主动脉瓣狭窄与冠状动脉疾病并存的情况很常见，而恰当的治疗方法仍存在争议。我们展示了2例具有挑战性的病例，患者患有严重主动脉瓣狭窄和左主干慢性完全闭塞，证明了经导管主动脉瓣置换术的安全性和可行性，该手术使用球囊扩张瓣膜和自膨胀瓣膜均取得了成功。
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