二叶式主动脉瓣经导管主动脉瓣置换术中瓣膜脱入升主动脉1例

周健伟; 李益民; 纪军; 何胜虎

doi:10.13201/j.issn.1001-1439.2021.10.020

二叶式主动脉瓣经导管主动脉瓣置换术中瓣膜脱入升主动脉1例

- 1. 扬州大学附属苏北人民医院心内科(江苏扬州,225000);
- 2. 南京胸科医院心内科

详细信息

通讯作者: 何胜虎,E-mail:yzhshys@163.com

中图分类号: R542.5

收稿日期: 2021-01-06

修回日期: 2021-04-19

A case report: valve protruding into ascending aorta during transcatheter aortic valve replacement with bicuspid aortic valve

- 1. Department of Cardiology, Subei People's Hospital Affiliated to Yangzhou University, Yangzhou, Jiangsu, 225000, China;
- 2. Department of Cardiology, Nanjing Chest Hospital

More Information

Corresponding author: HE Shenghu, E-mail: yzhshys@163.com

Received Date: 06 January 2021

Revised Date: 19 April 2021

摘要

- 二叶式主动脉瓣 /
- 主动脉瓣狭窄 /
- 经导管主动脉瓣置换术 /
- 瓣中瓣
Abstract: Transcatheter aortic valve replacement(TAVR) has gradually become an important treatment for patients with high, medium, or even low risk of severe aortic valve stenosis(AS). However, due to the geometric abnormality of the valve, patients with bicuspid aortic valve(BAV) have been excluded from many TAVR tests. At present, it is listed as a relative indication in domestic and foreign guidelines. However, domestic BAV accounts for 40%-50% of all AS patients. Therefore, the application of TAVR in BAV patients has greater clinical significance in our country. This paper reports a case of BAV complicated with severe AS with calcification. The valve upward movement during TAVR resulted in severe perivalvular leakage. The operation was completed successfully by emergency use of the valvular technique.
- bicuspid aortic valve /
- aortic valve stenosis /
- transcatheter aortic valve replacement /
- valve-in-valve

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参考文献(11)

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