跨导管大动脉植入用于严重双管大动脉狭窄症与同时发生的巨细胞动脉炎和大动脉炎
Issam Altnji1, James P Curtain1, Stephen O'Connor1
1St James's Hospital, Dublin, Ireland.
JACC. Case reports
|October 3, 2025
概括
过导管大动脉植入 (TAVI) 在患有严重双大动脉狭窄和大动脉炎的患者中是可行的. 这一案例突显了高风险患者成功的TAVI,强调了谨慎的选择标准.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 大动脉膜疾病 大动脉膜疾病
背景情况:
- 双管大动脉狭窄症 (AS) 对跨导管大动脉植入 (TAVI) 提出了解剖学上的挑战.
- 大动脉炎,特别是巨细胞动脉炎,增加了TAVI程序的复杂性.
- 双骨神经系统和关节炎的联合情况很少见,以前没有对TAVI进行报告.
研究的目的:
- 报告TAVI的第一个成功病例,该病例发生在患有严重双骨AS和关节炎的患者身上.
- 评估TAVI在这种复杂的患者形状中的可行性和短期结果.
主要方法:
- 评估了一名71岁的女性患者,患有严重的双管状瘤,低流量,低梯度,以及巨细胞动脉炎的病史.
- 该患者呈现急性心力衰竭和减少喷射分数,被认为是手术干预的高风险.
- 一个多学科的团队选择了TAVI,在手术前用类固醇和托西利祖马布治疗主动脉炎.
主要成果:
- 通过导管的大动脉植入术 (TAVI) 成功进行.
- 患者在TAVI手术后经历了有利的短期结果.
结论:
- 对于某些患有重度双关节神经瘤和并发性主动脉炎的患者来说,TAVI是一种可行的治疗选择.
- 仔细的患者选择和多学科的管理对于成功的TAVI在复杂的病例涉及关节炎至关重要.
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