急诊经导管主动脉瓣置换术治疗主动脉瓣狭窄伴关闭不全1例Emergency transcatheter aortic valve replacement for aortic stenosis combined with regurgitation:a case report
张航,安景辉,刘苏,马千里,石凤梧
摘要(Abstract):
经导管主动脉瓣置换术(TAVR)已成为治疗主动脉瓣狭窄(AS)的一线治疗方案,尤其是对于高龄、高危、外科手术禁忌的患者来说,TAVR更是展现了其强大的魅力所在。病情危重的AS患者,在其就诊时往往已伴有严重的心力衰竭或血流动力学障碍,药物对症治疗往往效果不佳,患者无法耐受外科手术打击,甚至无法等待择期TAVR,此时需行急诊TAVR,迅速打开狭窄的瓣膜,恢复血流动力学稳定,以挽救患者生命。现对本院所行1例急诊TAVR手术治疗主动脉瓣狭窄伴关闭不全病例进行报道。
关键词(KeyWords): 介入治疗;经导管主动脉瓣置换术;主动脉瓣狭窄;主动脉瓣关闭不全
基金项目(Foundation): 2020年政府资助临床医学优秀人才培养项目(2020397)
作者(Author): 张航,安景辉,刘苏,马千里,石凤梧
参考文献(References):
- [1]林果为,王吉耀,葛均波,等.实用内科学. 15版.北京:人民卫生出版社,2017:1024.
- [2] Holmes DR Jr, Mack MJ, Kaul S, et al. 2012 ACCF/AATS/SCAI/STS expert consensus document on transcatheter aorticvalve replacement. J Am Coll Cardiol,2012,59(13):1200-1254.
- [3] Vahanian A, Alfi eri O, Andreotti F,et al.Guidelines on the management of valvular heart disease(version 2012):the joint task force on the management of valvular heart disease of the European Society of Cardiology(ESC)and the European Association for Cardio-Thoracic Surgery(EACTS). Eur J Cardiothorac Surg,2012,42(4):S1-S44.