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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.

DOI:10.1016/j.jaccas.2025.104879
PMID:40912838
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12426643/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3fd/12426643/bcfb6204b4af/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3fd/12426643/16d750360af6/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3fd/12426643/bcfb6204b4af/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3fd/12426643/16d750360af6/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3fd/12426643/bcfb6204b4af/gr1.jpg

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Transfemoral TAVR in a Quadricuspid Aortic Valve With Pure Regurgitation: Overcoming Anatomical and Technical Barriers.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
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本文引用的文献

1
Quadricuspid Aortic Valve: Imaging, Diagnosis, and Prognosis.四叶式主动脉瓣：影像学表现、诊断及预后。
Tex Heart Inst J. 2024 Apr 30;51(1). doi: 10.14503/THIJ-23-8256.
2
Trends and Outcomes of Off-label Use of Transcatheter Aortic Valve Replacement: Insights From the NCDR STS/ACC TVT Registry.经导管主动脉瓣置换术的超适应证使用趋势和结果：来自 NCDR STS/ACC TVT 登记处的见解。
JAMA Cardiol. 2017 Aug 1;2(8):846-854. doi: 10.1001/jamacardio.2017.1685.
3
Quadricuspid Aortic Valve: Characteristics, Associated Structural Cardiovascular Abnormalities, and Clinical Outcomes.
四叶式主动脉瓣：特征、相关结构性心血管异常及临床转归。
Circulation. 2016 Jan 19;133(3):312-9. doi: 10.1161/CIRCULATIONAHA.115.017743. Epub 2015 Dec 3.