创伤性跨导管大动脉替换术
Tal Salamon, Keren Zissman, Amnon Eitan
1Department of Cardiovascular Medicine, Lady Davis Carmel Medical Center, 7 Michal St, Haifa, Israel. jaffe@clalit.org.il.
The Journal of invasive cardiology
|September 28, 2023
概括
过导管大动脉置换 (TAVR) 是严重的大动脉狭窄的可行选择,即使有器大动脉. 一个23毫米的Sapien S3门成功地植入了一个76岁的女性患者.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 心脏成像 - - 心脏成像
背景情况:
- 严重的症状性大动脉狭窄带来了重大风险.
- 甲,以严重的化为特征,使手术更换大动脉门复杂化.
- 透气管大动脉置换 (TAVR) 为高风险患者提供了一个替代方案.
研究的目的:
- 描述一个器甲状腺患者成功的TAVR手术.
- 突出TAVR在复杂的大动脉解剖学中的可行性.
主要方法:
- 用心脏CT血管造影来评估大动脉解剖学.
- 通过右大腿动脉植入了一个23毫米的Sapien S3门.
- 一个猪尾导管被用于通过左大腿动脉进入大动脉根.
主要成果:
- 患者患有严重的症状性大动脉狭窄,有器大动脉.
- 大动脉环形测量:面积372mm2,周长68.5mm,直径20mm.
- 通过23毫米的Sapien S3门植入成功进行了TAVR.
结论:
- 在有甲状腺的患者中,TAVR是一种可行的治疗选择,用于严重的大动脉狭窄.
- 精心的手术前成像和规划对于在具有挑战性的病例中成功进行TAVR至关重要.
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