在大卫手术后用JenaValve Trilogy系统进行透导管大动脉置换:一个病例报告
Jeng-Wei Chen1, Tsung-Yo Ko2, Ying-Hsien Chen2
1Department of Surgery, National Taiwan University Hospital, Taipei 100225, Taiwan.
European heart journal. Case reports
|October 13, 2025
概括
使用JenaValve Trilogy系统进行过导管大动脉置换,在门节约大动脉根置换 (大卫手术) 后成功治疗了大动脉吐. 这种不那么侵入性的方法为非化解剖的患者提供了新的选择.
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
- 医疗器械 医疗器械
背景情况:
- 门节约性大动脉根置换 (VSARR) 或大卫手术,保留了本源门,但在20%的病例中可能导致渐进性大动脉吐 (AR).
- 重置手术对于失败的VSARR是标准的,但通过导管的大动脉置换 (TAVR) 是高风险患者的新兴替代方案,特别是在非化的解剖学中.
- 本案例报告详细介绍了JenaValve三方系统在David后手术AR中首次使用的情况.
研究的目的:
- 为了报告第一个成功使用JenaValve Trilogy系统在大卫手术后治疗大动脉吐.
- 为了评估TAVR在一个失败的门节约大动脉根修复和非化的解剖学患者的可行性.
主要方法:
- 一名71岁的女性患有严重的AR后大卫手术,接受了TAVR.
- 一个23毫米的Trilogy JenaValve在有意识的镇静下通过膜接入进行植入.
- 心声和动脉图被用于诊断和术后评估.
主要成果:
- 杰纳三部曲成功部署,没有剩余的反.
- 患者经历了无事件的恢复,并在术后第五天出院.
- 即使没有环状化,这种程序也是可行的.
结论:
- 杰纳三方系统是管理后VSARRAR的一个可行的选择,特别是在没有环状化的情况下.
- 它独特的固机制可能允许在复杂的,非化解剖学中安全固定.
- 需要进一步的临床经验和长期数据来确定该系统在故障的门节约维修中的作用.
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