经导管主动脉瓣置入术治疗单纯性四叶式主动脉瓣重度反流1例
刘伟丽,张岩,江磊,王吴刚,徐美玲,谭好飞,綦俊辉,李燕超,管春阳,李大成
摘要(Abstract):
<正>1临床资料患者男,73岁。因"发作性胸痛20年,进行性加重1周",于2019年10月10日在青岛大学附属医院就诊。现病史:患者近20年反复出现无明显诱因胸痛,夜间平卧入睡无憋醒,2016年6月于本院心内科给予前降支置入支架一枚,病情仍未缓解。既往病史:高血压病史20年;冠心病史6年,4年前行冠状动脉左前降支近端支架置入术。入院查体:主动脉听诊区可闻及舒张期杂音,P2稍亢,伴分裂,股动脉枪击音(-)。超声心动图示:左心室扩大,左心室舒张末期内径6.2 cm,左心室射血分数38%,
关键词(KeyWords): 四叶式主动脉瓣;经导管主动脉瓣置入术;主动脉瓣反流
基金项目(Foundation):
作者(Author): 刘伟丽,张岩,江磊,王吴刚,徐美玲,谭好飞,綦俊辉,李燕超,管春阳,李大成
参考文献(References):
- [1] Tsang MYC, Abudiab MM, Ammash NM, et al. Quadricuspid aortic valve:characteristics, associated structural cardiovascular abnormalities, and clinical outcomes. Circulation, 2016, 133(3):312-319.
- [2] Nakamura Y, Taniguchi I, Saiki M, et al. Quadricuspid aortic valve associated with aortic stenosis and regurgitation. Jpn J Thorac Cardiovasc Surg, 2001, 49(12):714-716.
- [3] Feldman BJ, Khandheria BK, Warnes CA, et al. Incidence,description and functional assessment of isolated quadricuspid aortic valves. Am J Cardiol, 1990, 65(13):937-938.
- [4] De Backer O, Pilgrim T, Simonato M, et al. Usefulness of transcatheter aortic valve implantation for treatment of pure native aortic valve regurgitation. Am J Cardiol, 2018, 122(6):1028-1035.
- [5] Aoyama R, Futami S, Tanaka J, et al. Transcatheter aortic valve implantation using Evolut R in quadricuspid aortic valve with severe stenosis and regurgitation. Cardiovasc Interv Ther, 2019, 34(3):285-287.
- [6] Ibrahim M, Wattanakit K, Barzallo M, et al. Quadricuspid aortic valve stenosis:expanding our experience in transcatheter aortic valve implantation. J Invasive Cardiol, 2018, 30(3):E27.
- [7]中国医师协会心血管内科医师分会结构性心脏病专业委员,中华医学会心血管病学分会结构性心脏病学组.经导管主动脉瓣置换术中国专家共识.中国介入心脏病学杂志,2015, 23(12):661-667.
- [8] Achenbach S, Delgado V, Hausleiter J, et al. SCCT expert consensus document on computed tomography imaging before transcatheter aortic valve implantation(TAVI)/transcatheter aortic valve replacement(TAVR). J Cardiovasc Comput Tomogr, 2012,6(6):366-380.