多封堵器经导管主动脉瓣置换术后瓣周漏封堵1例

A Case of Paravalvular Leakage Closure after Transcatheter Aortic Valve Replacement with Multiple Occluders

瓣周漏(PVL)是经导管主动脉瓣置换术(TAVR)的常见并发症之一,本文报道的是一例主动脉瓣重度钙化TAVR“瓣中瓣”术后发生重度复杂PVL的老年患者,行经导管主动脉瓣多封堵器PVL封堵术,手术成功,术后心脏超声提示轻中度瓣周反流。介入封堵治疗PVL可以作为外科手术的一种替代方案,对于复杂PVL且难以承受外科手术的患者来说,多封堵器进行介入封堵更是一种直接有效的治疗手段。

Paravalvular leakage (PVL) is one of the common complications of transcatheter aortic valve re-placement (TAVR). This paper reports a case of an elderly patient with severe complicated PVL after TAVR “valve-in-valve” surgery for severe aortic calcification who underwent percutaneous PVL clo-sure with multiple occluders. The operation was successful. Postoperative echocardiography showed mild to moderate perivalvular regurgitation. Transcatheter closure therapy PVL can be an alternative to surgical procedures, and multiple occluder to interventional closure is a straightfor-ward and effective treatment for patients with complex PVL who are difficult to withstand surgical procedures.