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经导管主动脉瓣植入术治疗一名患有严重自体移植瓣膜反流的Ross手术患者：病例报告

Transcatheter Aortic Valve Implantation in a Ross Procedure Patient With Severe Autograft Regurgitation: A Case Report.

作者信息

Mukherjee Anindya, Joshi Nikhil, Curtis Stephanie, Turner Mark

机构信息

Scarborough General Hospital, Scarborough, UK.

University of Bristol, Bristol, UK.

出版信息

Catheter Cardiovasc Interv. 2025 Sep;106(3):1946-1950. doi: 10.1002/ccd.70019. Epub 2025 Jul 22.

DOI:10.1002/ccd.70019
PMID:40696757
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12412343/
Abstract

Surgical aortic valve replacement (AVR) is the standard treatment for symptomatic severe neo-aortic regurgitation in Ross patients. The only previous report of a transcatheter aortic valve implantation (TAVI) in a Ross patient required valve-in-valve rescue. Thus, this is the first uncomplicated TAVI procedure in a Ross patient.

摘要

外科主动脉瓣置换术（AVR）是Ross手术患者有症状的严重新主动脉瓣反流的标准治疗方法。此前关于Ross手术患者经导管主动脉瓣植入术（TAVI）的唯一报告是进行瓣中瓣补救手术。因此，这是首例在Ross手术患者中成功进行的无并发症TAVI手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e492/12412343/478d3dcd21d6/CCD-106-1946-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e492/12412343/68226c89be04/CCD-106-1946-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e492/12412343/6cdc2ab92382/CCD-106-1946-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e492/12412343/478d3dcd21d6/CCD-106-1946-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e492/12412343/68226c89be04/CCD-106-1946-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e492/12412343/6cdc2ab92382/CCD-106-1946-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e492/12412343/478d3dcd21d6/CCD-106-1946-g002.jpg

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本文引用的文献

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Transcatheter Aortic Valve Replacement for Pure Native Aortic Valve Regurgitation: The PANTHEON International Project.经导管主动脉瓣置换术治疗单纯性原发性主动脉瓣反流：PANTHEON 国际项目。
JACC Cardiovasc Interv. 2023 Aug 28;16(16):1974-1985. doi: 10.1016/j.jcin.2023.07.026.
2
Treatment of severe aortic valve regurgitation with the Trilogy TAVI system.采用Trilogy经导管主动脉瓣植入系统治疗重度主动脉瓣反流
EuroIntervention. 2023 Apr 24;18(17):1444-1445. doi: 10.4244/EIJ-D-22-00596.
3
TAVI for Pure Non-calcified Aortic Regurgitation Using a Self-Expandable Transcatheter Heart Valve.
使用自膨胀式经导管心脏瓣膜治疗单纯非钙化性主动脉瓣反流的经导管主动脉瓣置入术
Front Cardiovasc Med. 2022 Jan 25;8:743579. doi: 10.3389/fcvm.2021.743579. eCollection 2021.
4
2021 ESC/EACTS Guidelines for the management of valvular heart disease.2021年欧洲心脏病学会/欧洲心胸外科学会心脏瓣膜病管理指南。
EuroIntervention. 2022 Feb 4;17(14):e1126-e1196. doi: 10.4244/EIJ-E-21-00009.
5
Long-Term Outcomes of Patients Undergoing the Ross Procedure.接受罗斯手术患者的长期预后。
J Am Coll Cardiol. 2021 Mar 23;77(11):1412-1422. doi: 10.1016/j.jacc.2021.01.034.
6
Transcatheter Aortic Valve Replacement in Pure Native Aortic Valve Regurgitation.经导管主动脉瓣置换术治疗单纯性主动脉瓣反流。
J Am Coll Cardiol. 2017 Dec 5;70(22):2752-2763. doi: 10.1016/j.jacc.2017.10.006.
7
Transcatheter aortic valve implantation for severe autograft regurgitation after Ross operation.经导管主动脉瓣植入术治疗Ross手术后严重自体瓣膜反流
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Aortic regurgitation index defines severity of peri-prosthetic regurgitation and predicts outcome in patients after transcatheter aortic valve implantation.主动脉瓣反流指数定义了经导管主动脉瓣置换术后人工瓣周反流的严重程度，并预测了患者的预后。
J Am Coll Cardiol. 2012 Mar 27;59(13):1134-41. doi: 10.1016/j.jacc.2011.11.048.