摘要
急危重症主动脉瓣狭窄患者短期病死率高,给临床救治提出了巨大的挑战。随着经导管主动脉瓣置换术(transcatheter aortic valve replacement,TAVR)的发展,急诊TAVR为这些患者的救治带来了希望。该文报告了1例急诊TAVR病例。该患者为老年男性,既往接受过外科二尖瓣置换术,本次发病表现为急性心力衰竭;经充分的手术风险/获益评估后,患者接受了急诊TAVR;术后2个月随访患者状况良好。急诊TAVR对于急危重症主动脉瓣狭窄患者是一种很好的治疗手段。
The short-term mortality of patients with severe aortic stenosis is high, which presents a great challenge to clinical treatment. With the development of transcatheter aortic valve replacement(TAVR), emergent TAVR brings hope for the treatment of these patients. We present here a case of emergent TAVR procedure. The patient was an elderly male who had previously undergone surgical mitral valve replacement. After fully assessing the risk/benefit of TAVR procedure, emergent TAVR was performed for the patient. The patient was in good condition at two-month follow-up. Emergent TAVR is a good option for critical high-risk patients with severe aortic stenosis.
作者
方毅
王斌
郑凌飞
李洋
梁振洋
徐凯
荆全民
韩雅玲
FANG Yi;WANG Bin;ZHENG Lingfei;LI Yang;LIANG Zhenyang;XU Kai;JING Quanmin;HAN Yaling(Department of Cardiology,General Hospital of Northern Theater Command,Shenyang,Liaoning 110016,P.R.China)
出处
《华西医学》
CAS
2020年第4期425-429,共5页
West China Medical Journal
关键词
主动脉瓣狭窄
经导管主动脉瓣置换术
急诊手术
Aortic valve stenosis
Transcatheter aortic valve replacement
Emergent procedure
