张龙岩,华正东,宋丹,郭卉,徐承义,夏峰,刘波,黄维勤,李菁,钟志林,张月,王英,苏晞

• 1:武汉亚心总医院心血管内科
• 2:武汉亚洲心脏病医院心血管内科

摘要(Abstract)：

目的 探讨使用自膨胀式瓣膜行经导管主动脉瓣置换术（TAVR）在单纯主动脉瓣反流（PAR）患者中的疗效，总结这一术式的初步经验。方法 纳入2022年4月至2023年5月武汉亚心总医院和武汉亚洲心脏病医院使用TaurusElite经导管主动脉瓣系统实施TAVR的PAR患者共20例，收集并分析患者的临床基线资料、超声心动图资料及术后住院期间和出院后30 d随访资料。结果 患者的平均年龄为（73.5±5.5）岁，平均美国胸外科医师协会（STS）评分（8.7±3.6）%，术前重度主动脉瓣反流16例（16/20）。经TAVR治疗后，手术成功20例（20/20），单一瓣膜器械成功19例（19/20，瓣中瓣1例）。术后30 d随访结果显示，20例患者未出现死亡、致残性脑卒中、心肌梗死及转外科事件，术后主动脉瓣残余反流程度均为无或者微量，手术效果理想。结论 经过严格的病例筛选及规范的手术标准化操作，使用自膨胀式瓣膜行TAVR治疗PAR患者的可行性高，早期临床结果良好，可进一步推广应用；对于所归纳总结的术式经验，可做进一步临床验证。

关键词(KeyWords)： 经导管主动脉瓣置换术;单纯主动脉瓣反流;早期疗效;瓣膜稳定性

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 张龙岩,华正东,宋丹,郭卉,徐承义,夏峰,刘波,黄维勤,李菁,钟志林,张月,王英,苏晞

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