经股动脉途径行四叶式主动脉瓣单纯反流的经导管主动脉瓣置换术：克服解剖和技术障碍
Transfemoral TAVR in a Quadricuspid Aortic Valve With Pure Regurgitation: Overcoming Anatomical and Technical Barriers.
作者信息
Feghaly Julien, Suma Valentin, Kandah Fadi, Choi Calvin, Zgheib Ali
机构信息
Division of Cardiology, Department of Medicine, University of Florida Health, Jacksonville, Florida, USA.
Division of Cardiology, Department of Medicine, University of Florida Health, Jacksonville, Florida, USA.
出版信息
JACC Case Rep. 2025 Sep 3;30(26):104879. doi: 10.1016/j.jaccas.2025.104879.
We present a case of successful transfemoral transcatheter aortic valve replacement for a rare quadricuspid aortic valve with pure aortic regurgitation. Procedural challenges included identifying the annular plane, determining the appropriate deployment view, annular sizing, the absence of annular calcium, and the lack of a dedicated transcatheter device for pure aortic regurgitation.
我们报告一例成功进行经股动脉导管主动脉瓣置换术的病例，该患者为罕见的四叶式主动脉瓣伴单纯主动脉瓣反流。手术挑战包括确定瓣环平面、确定合适的释放角度、测量瓣环大小、瓣环无钙化以及缺乏专门用于单纯主动脉瓣反流的经导管装置。
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