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超导管大动脉置换失败:经过十多年后的外科门扩张

Go Yamashita¹, Shingo Hirao¹, Tatsuhiko Komiya¹

¹Department of Cardiovascular Surgery, Kurashiki Central Hospital, Kurashiki, Okayama, Japan.

Interdisciplinary cardiovascular and thoracic surgery

|October 26, 2024

概括

过导管大动脉置换 (TAVR) 可能会长期失败,需要进行手术. 本案例报告详细介绍了TAVR门的成功后期扩张,强调了手术准备的必要性.

科学领域:

心血管外科心血管外科
干预心脏病学干预心脏病学
医疗病例报告病例报告

背景情况:

过导管大动脉置换 (TAVR) 是严重的大动脉狭窄的常见治疗方法.
在TAVR后的长期结果和再干预率尚未完全确定.
晚期门失灵可能需要复杂的手术管理.

研究的目的:

报告由于晚期故障导致TAVR门成功外科开口的情况.
强调对潜在的TAVR晚期并发症进行手术准备的重要性.
为管理需要在TAVR后重新干预的患者提供见解.

主要方法:

一名76岁的女性患者有TAVR病史,呈现出严重的大动脉功能不全和心力衰竭.
外科干预包括SAPIEN-XT TAVR门的扩张,上升性大动脉置换,三形解剖手术和冠状动脉旁路移植.
用粗的解剖方法仔细检查了TAVR门,以保存大动脉环.

主要成果:

晚期的TAVR门故障通过复杂的心脏手术成功管理.
患者经历了无事件的术后恢复,并在4周后出院.
探索手术避免了对本土大动脉环的损伤.

结论:

在TAVR后的晚期门衰竭是可能的,需要潜在的手术干预.
外科医生必须为先前有TAVR的患者进行复杂的再干预做好准备.
这一案例强调了对主动脉狭窄和TAVR结果的管理不断变化的景观.

关键词:

大动脉 insufficiency 大动脉缺陷外科门的扩张.通过导管更换大动脉门.

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