Angulo-Lara Basilio, Jiménez-Mena Manuel, Salido-Tahoces Luisa, Ortega-Marcos Javier
Department of Cardiology, Puerta de Hierro University Hospital, Madrid, Spain.
Department of Cardiology, Sanitas-La Moraleja University Hospital, Madrid, Spain.
Ann Thorac Surg Short Rep. 2024 Jun 21;2(4):791-794. doi: 10.1016/j.atssr.2024.05.025. eCollection 2024 Dec.
We report a case of a woman who underwent mitral ring and tricuspid annuloplasty. Two months later, she presented with acute heart failure secondary to severe aortic regurgitation, which was a complication of the cardiac surgery. Given the high surgical risk of reoperation in this the patient, she underwent transcatheter aortic valve implantation, with a good result. Aortic regurgitation is a rare and severe complication after valve repair surgery. Our case showed that off-label transcatheter aortic valve implantation in a high-risk patient after iatrogenic aortic regurgitation is safe and feasible.
我们报告一例接受二尖瓣环和三尖瓣环成形术的女性病例。两个月后,她因严重主动脉瓣反流继发急性心力衰竭,这是心脏手术的一种并发症。鉴于该患者再次手术的高手术风险,她接受了经导管主动脉瓣植入术,效果良好。主动脉瓣反流是瓣膜修复手术后一种罕见且严重的并发症。我们的病例表明,对于医源性主动脉瓣反流后的高危患者,进行非标签经导管主动脉瓣植入术是安全可行的。