摘要
“瓣中瓣”介入技术是治疗人工植入瓣膜再次衰败的有效方法。该文介绍了一例82岁老年男性患者因重度主动脉瓣关闭不全曾行外科主动脉生物瓣膜置换,术后3年余出现人工瓣膜衰败致重度主动脉瓣狭窄,患者胸闷气喘逐渐加重且常规治疗效果不佳,病情恶化出现循环不稳定,最终通过急诊经导管主动脉瓣置换术再次植入人工瓣膜一例,手术成功,术后症状明显改善,随访提示恢复良好。
“Valve-in-valve” technique is an effective method to treat the bioprosthesis structural valve degeneration. In this paper, an 82-year-old male patient with severe aortic valve regurgitation had underwent surgical aortic valve replacement. He had a bioprosthesis structural valve degeneration which caused severe aortic stenosis more than 3 years after surgery. His symptoms of chest distress and short breath were aggravated progressively, and not relieved by conventional treatment. As the deterioration in his unstabled circulation system, an emergency transcatheter aortic valve replacement was conducted for him. The operation was finally successful, the symptoms were relived significantly after operation, and then the follow-up indicated that he had a good recovery.
作者
方震
纪军
陈述
张晶
陈勇
包萍
何胜虎
FANG Zhen;JI Jun;CHEN Shu;ZHANG Jing;CHEN Yong;BAO Ping;HE Shenghu(Department of Cardiology,Northern Jiangsu People's Hospital,Clinical Medical College of Yangzhou University,Yangzhou,Jiangsu 225000,P.R.China;Department of Cardiac Function Examination,Northern Jiangsu People's Hospital,Clinical Medical College ofYangzhou University,Yangzhou,Jiangsu 225000,P.R.China)
出处
《华西医学》
CAS
2022年第4期517-521,共5页
West China Medical Journal
基金
江苏省苏北人民医院省级学科带头人A类专项经费(DTRA18001)
江苏省苏北人民医院特殊重大扶持项目(fcjs201702)。
关键词
经导管主动脉瓣置换术
人工植入瓣膜衰败
瓣中瓣
Transcatheter aortic valve replacement
bioprosthesis structural valve degeneration
valve-in-valve
