经导管主动脉瓣及三尖瓣置入术治疗主动脉瓣及三尖瓣反流一例

Transcatheter valve implantation for aortic and tricuspid valve regurgitation:A case report

经导管主动脉瓣置入术可用于治疗高危主动脉瓣反流患者,经导管三尖瓣置入术也为高危三尖瓣反流患者提供治疗新选择。我们报道1例72岁男性患者因主动脉瓣重度反流置入J-Valve经导管主动脉瓣瓣膜,随访2年期间因心房颤动继发房性三尖瓣反流而置入LuX-Valve经导管三尖瓣瓣膜。术后患者瓣膜反流消失,心功能不全症状明显好转,超声心动图提示2枚人工瓣膜均具有较好的血流动力学效果。本文提示对于高危老年患者经导管同期或分期行多个瓣膜置入可行、有效。

Transcatheter aortic valve implantation(TAVI)is an important alternative in treating high-risk patients with aortic valve regurgitation.Transcatheter tricuspid valve implantation(TTVI)is also an important treatment option for high-risk patients with tricuspid regurgitation.We reported a 72-year male patient who underwent TAVI due to severe aortic valve regurgitation using a J-Valve.During a two-year follow-up,the patient developed secondary tricuspid regurgitation to atrial fibrillation,and subsequently received TTVI using a LuX-Valve.Following the interventions,the patient's symptoms were significantly improved,and echocardiography indicated good hemodynamic performance of both transcatheter heart valves.This case highlights the feasibility and effectiveness of performing multiple valve implantations via transcatheter approaches in high-risk elderly patients.