重度主动脉瓣狭窄合并重度二尖瓣狭窄一站式治疗1例

One-stop treatment of severe aortic valve stenosis combined with severe mitral valve stenosis:one case report

1病例资料患者,男,60岁。因“间断胸闷、咳嗽10年,加重伴呼吸困难半年”就诊于我院。10年前受凉后出现胸闷、咳嗽,伴心慌、出汗、乏力,伴咳白色黏痰,偶有双下肢水肿,无心前区疼痛,无头晕头痛、关节酸痛及恶心厌食,当地医院诊断为“风湿性心脏病二尖瓣狭窄”,给予对症及支持治疗后好转出院。期间胸闷反复发作,性质同前,住院给予纠正心力衰竭(心衰)等治疗后可好转。近半年发病次数增多,胸闷程度较前加重,伴乏力、呼吸困难、咳嗽、咳痰、双下肢水肿,夜间高枕卧位休息,转至我院。既往合并“慢性阻塞性肺病(慢阻肺)”10年余;“脑梗死”5年,遗留左侧肢体无力。

At present, TAVR has gradually matured in the treatment of aortic valve stenosis, but the clinical risk and benefit of TAVR treatment for aortic stenosis combined with other diseases is difficult to analyze, which is still a major clinical problem facing the development of TAVR. Here is a case of successful TAVR treatment in severe aortic valve stenosis with severe mitral valve stenosis.