Marthy Andrew, Liu Junyi, Danduch Eduardo, Tarabichi Saeed, Zhang Li, Samy Sanjay, Nakai Chikashi
Department of Cardiothoracic Surgery, Albany Medical Center, Albany, New York.
Ann Thorac Surg Short Rep. 2024 Nov 23;3(2):438-441. doi: 10.1016/j.atssr.2024.11.006. eCollection 2025 Jun.
The patient was a 65-year-old man with a history of symptomatic aortic stenosis for which he underwent transcatheter aortic valve replacement (TAVR) with a 26-mm balloon-expandable valve through right femoral artery access. The TAVR valve embolized in the distal transverse arch. An additional 29-mm balloon-expandable valve was deployed at the aortic annulus successfully, and the embolized valve remained in the distal arch. The patient subsequently underwent surgical explantation of the embolized valve with central cannulation and deep hypothermic circulatory arrest. The transverse aortic arch was opened, and the embolized valve was removed. His postoperative course was uncomplicated. He was discharged home on postoperative day 6.
该患者为一名65岁男性，有症状性主动脉瓣狭窄病史，为此他通过右股动脉途径接受了经导管主动脉瓣置换术（TAVR），植入了一个26毫米球囊扩张瓣膜。TAVR瓣膜在远端横主动脉弓处发生栓塞。随后在主动脉瓣环成功植入了一个额外的29毫米球囊扩张瓣膜，而栓塞的瓣膜仍留在远端主动脉弓。该患者随后接受了栓塞瓣膜的外科取出术，采用中心插管和深低温循环停搏。打开主动脉横弓，取出栓塞的瓣膜。他的术后过程无并发症。术后第6天出院回家。
