跨导管大动脉置换在患有膜隔膜膜动脉瘤的患者中
Pascal Theriault-Lauzier1,2, Luke P Dawson1, Christopher C Y Wong1
1Interventional Cardiology Section, Division of Cardiovascular Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, California, USA.
JACC. Case reports
|January 17, 2025
概括
腹腔间膜隔膜动脉瘤是一种罕见的疾病,可以使大动脉狭窄治疗复杂化. 使用现代门进行透管大动脉置换,在两名患有这种异常的患者中被证明是可行的.
科学领域:
- 心血管医学 心血管医学
- 干预心脏病学 干预心脏病学
- 心脏成像 - 心脏成像
背景情况:
- 腹腔膜隔膜的动脉瘤是不常见的心脏发现.
- 这些动脉瘤可能会给患有大动脉狭窄症的患者带来治疗挑战.
研究的目的:
- 介绍一系列患者的病例,这些患者患有腹腔间膜性隔膜动脉瘤,正在接受TAVR.
- 为了证明TAVR在这个特定患者群体中的可行性和成功结果.
- 为了说明膜隔膜动脉瘤存在时TAVR的成像发现和程序考虑.
主要方法:
- 一个回顾性审查的2名患者与室际膜隔膜动脉瘤,谁接受了TAVR.
- 程序前,程序内和程序后成像分析,包括心声学,光学和计算机断层扫描.
- 评估设备选择,尺寸和部署动态.
主要成果:
- 在两位患有膜隔膜动脉瘤的患者中都取得了成功的TAVR.
- 图像显示了动脉瘤和大动脉之间的解剖关系,指导了程序步骤.
- 没有报告与隔膜动脉瘤相关的重大程序并发症.
结论:
- 超导管大动脉置换是一种可行且安全的治疗选择,用于患有大动脉狭窄和同时出现的腹腔间膜隔膜动脉瘤的患者.
- 仔细的手术前成像和手术规划对于成功的TAVR在这个队列中至关重要.
- 这一案例系列强调了当前TAVR技术对复杂的心脏解剖学的适应性.
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