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使用耶拿瓣膜对一名单纯主动脉瓣反流患者进行经导管主动脉瓣植入术。

Transcatheter aortic valve implantation in a patient with isolated aortic regurgitation using JenaValve.

作者信息

Xia Lina, Peng Wei, Chen Li, Li Li

机构信息

Department of Cardiology, Chengdu Second People's Hospital, China.

出版信息

J Int Med Res. 2025 Sep;53(9):3000605251369848. doi: 10.1177/03000605251369848. Epub 2025 Sep 5.

Abstract

This case report details the successful use of JenaValve for transcatheter aortic valve implantation in a male patient in his early 50s with severe aortic regurgitation. The patient had multiple comorbidities, including chronic kidney disease and heart failure, increasing the risk of surgical intervention. JenaValve, a second-generation device with unique positioning and anchoring mechanisms, was deployed successfully, resulting in immediate improvements in cardiac function without significant regurgitation or paravalvular leakage. This case highlights the potential of transcatheter aortic valve implantation as a viable alternative to surgical aortic valve replacement in patients with severe aortic regurgitation, emphasizing the importance of technological advancements and a multidisciplinary approach in managing complex cardiovascular cases. Long-term follow-up is essential to assess the durability of the implanted valve and the patient's overall prognosis.

摘要

本病例报告详细介绍了JenaValve在一名50岁出头患有严重主动脉瓣反流的男性患者中成功用于经导管主动脉瓣植入的情况。该患者有多种合并症,包括慢性肾病和心力衰竭,增加了手术干预的风险。JenaValve是一种具有独特定位和锚定机制的第二代装置,成功植入后,心脏功能立即得到改善,且无明显反流或瓣周漏。本病例突出了经导管主动脉瓣植入作为严重主动脉瓣反流患者外科主动脉瓣置换可行替代方案的潜力,强调了技术进步和多学科方法在处理复杂心血管病例中的重要性。长期随访对于评估植入瓣膜的耐久性和患者的总体预后至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07dd/12413514/18ddaef814ee/10.1177_03000605251369848-fig1.jpg

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