急诊经导管主动脉瓣置换术成功治疗血流动力学不稳定的人工主动脉瓣狭窄。

IF 1.2 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Journal of Cardiovascular and Thoracic Research Pub Date : 2022-01-01 Epub Date: 2022-03-07 DOI:10.34172/jcvtr.2022.04
Muhammad Ishaq, Muhammad Shoaib Khan, Amir Shahbaz, Jayanth G Vedre, Alon Yarkoni, Rhianna Malovrh, Juan Mesa
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引用次数: 0

摘要

FDA批准经导管主动脉瓣置换术(TAVR)治疗症状性主动脉瓣狭窄。最近的证据表明,TAVR是大多数AV狭窄患者手术主动脉瓣置换术(SAVR)高风险的治疗选择。根据AHA指南,重复瓣膜置换术已被推荐用于生物假体房室狭窄。对于血流动力学不稳定的假体房室狭窄患者的紧急TAVR没有重要的科学数据支持。然而,有少数病例报道急诊TAVR手术治疗血流动力学不稳定的严重先天性房室狭窄患者。我们报告一个独特的成功的急诊TAVR病例,患者血流动力学不稳定,在就诊时有严重的症状性生物假体房室狭窄。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Successful emergency transcatheter aortic valve replacement in the setting of hemodynamically unstable prosthetic aortic valve stenosis.

FDA approved transcatheter aortic valve replacement (TAVR) for the treatment of symptomatic aortic valve (AV) stenosis. Recent evidence reveals that TAVR is the treatment of choice in most patients with AV stenosis who are at high risk for surgical aortic valve replacement (SAVR). Per AHA guidelines, repeat valve replacement has been recommended for bio-prosthetic AV stenosis. Urgent TAVR for hemodynamically unstable patients with prosthetic AV stenosis is not supported by significant scientific data. However, there have been a few cases reported on emergency TAVR procedures in hemodynamically unstable patients with severe native AV stenosis. We are reporting a unique case of successful emergency TAVR in a hemodynamically unstable patient, who had severe symptomatic bio-prosthetic AV stenosis at the time of presentation.

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来源期刊
Journal of Cardiovascular and Thoracic Research
Journal of Cardiovascular and Thoracic Research CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
2.00
自引率
0.00%
发文量
22
审稿时长
7 weeks
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