复杂双层阻塞中的TAVI:严重的大动脉狭窄和下大动脉膜的病例
Salem Assiri1, Mohammed S Alshammakh1, Sultan M Alzahrani1
1King Fahad Armed Forces Hospital, Ministry of Defense Health Services, Jeddah, Saudi Arabia.
Methodist DeBakey cardiovascular journal
|May 19, 2025
概括
过导管大动脉植入 (TAVI) 为严重的大动脉和下大动脉狭窄提供了可行的治疗方法. 这种以多式成像为指导的方法,为不适合手术的高风险患者提供了替代方案.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 医疗成像医学成像
背景情况:
- 双层阻塞,严重的大动脉狭窄和下大动脉狭窄带来了复杂的治疗挑战.
- 过导管大动脉植入 (TAVI) 是一种非标签性手术,用于涉及下大动脉膜的病例.
研究的目的:
- 为了证明TAVI在患有综合严重大动脉和下大动脉狭窄症的患者中的可行性和成功.
- 突出多式成像在指导TAVI复杂的双层障碍物中的作用.
主要方法:
- 采用多式成像方法,包括心声学,心脏计算机断层扫描和光学指导.
- 在患有严重的大动脉和下大动脉狭窄症的高风险患者中进行过导管大动脉植入 (TAVI).
主要成果:
- 在一个结合严重的大动脉和下大动脉狭窄症,包括下大动脉膜的患者中成功应用了TAVI.
- 多模式成像促进了精确的指导和成功的程序结果.
结论:
- 在患有双级大动脉阻塞的高风险患者中,TAVI可以成为外科大动脉置换的成功替代方案.
- 这一案例强调了TAVI在先前仅限于外科手术的具有挑战性的临床场景中的潜力.
相关概念视频
Thoracic Aorta
306
The thoracic section of the aorta begins at the T5 vertebra and extends to the T12 level at the diaphragm, initially progressing through the mediastinum to the left of the spinal column. Throughout its course in the thoracic segment, the thoracic aorta emits various offshoots known collectively as visceral and parietal branches. The branches that predominantly supply blood to visceral organs are termed visceral branches and include bronchial, pericardial, esophageal, and mediastinal arteries,...
306
Abdominal Aorta
531
Once the aorta traverses the diaphragmatic plane at the aortic hiatus, it is known as the abdominal aorta. This anatomical structure is positioned leftward of the spinal column, encased within a cocoon of adipose tissue behind the peritoneal cavity. It terminates at the L4 vertebra, where it splits into the common iliac arteries. Prior to this bifurcation, the abdominal aorta gives rise to several vital branches.
The celiac trunk, a singular artery, divides into the left gastric artery, which...
The celiac trunk, a singular artery, divides into the left gastric artery, which...
531
The Arch of Aorta
507
The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
Encircling the heart, the coronary arteries form a ring-like structure before...
Encircling the heart, the coronary arteries form a ring-like structure before...
507
The Aorta
560
The aorta is the largest artery in the human body. It originates from the left ventricle of the heart and extends down to the abdomen, where it splits into two smaller arteries. Structurally, it can be divided into four main parts: the ascending aorta, the aortic arch, the thoracic aorta, and the abdominal aorta.
The average diameter of the aorta is approximately 2-3 cm, but the size can vary depending on the section of the aorta and the individual's age, sex, and body size. The aorta is...
The average diameter of the aorta is approximately 2-3 cm, but the size can vary depending on the section of the aorta and the individual's age, sex, and body size. The aorta is...
560
Pneumothorax-II
111
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
111


