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联合主动脉瓣狭窄和肥厚型心肌病时左心室流出道梗阻的处理

Managing Left Ventricular Outflow Tract Obstruction in Combined Aortic Stenosis and Hypertrophic Cardiomyopathy.

作者信息

Shi Meilynn, Saleh Danish, Leya Marysa V, Puthumana Jyothy J, Flaherty James D, Choudhury Lubna

机构信息

Bluhm Cardiovascular Institute, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.

出版信息

JACC Case Rep. 2024 Nov 20;29(22):102653. doi: 10.1016/j.jaccas.2024.102653.

Abstract

This study presents an elderly man with sequential hemodynamic obstructions caused by hypertrophic cardiomyopathy and aortic stenosis. Septal reduction therapy was performed to avoid outflow tract obstruction associated with potential future transcatheter aortic valve replacement. This case highlights the importance of resolving outflow tract obstruction during assessment of aortic valve disease.

摘要

本研究报告了一名老年男性,其患有肥厚型心肌病和主动脉瓣狭窄所致的序贯性血流动力学梗阻。进行了室间隔减容治疗,以避免与未来可能的经导管主动脉瓣置换相关的流出道梗阻。该病例强调了在评估主动脉瓣疾病时解决流出道梗阻的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc54/11646875/8309f956417b/gr1.jpg

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