经皮入路治疗1例马凡氏综合征患者左心室流出道假性动脉瘤及严重瓣旁主动脉反流

The Southwest Respiratory and Critical Care Chronicles Pub Date : 2022-10-21 DOI:10.12746/swrccc.v10i45.1081

D. Paz, Timothy W. Hegeman, Onur Varli, C. Çevik

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引用次数: 0

摘要

66岁男性，马凡氏综合征病史，感染性心内膜炎消退，2010年行主动脉瓣置换术后发现呼吸短促。影像学上发现了几个严重的瓣旁渗漏，左心室流出道假性动脉瘤被确定为引起他症状的原因，需要治疗。由于该患者有手术介入的风险，我们采用逆行经主动脉入路。

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Left ventricular outflow tract pseudoaneurysms and severe paravalvular aortic regurgitation treated by percutaneous approach in a Marfan syndrome patient

A 66-year-old male with a history of Marfan syndrome and resolved infective endocarditis was found to have shortness of breath after a previous aortic valve replacement in 2010. Several severe paravalvular leaks were seen on imaging, and left ventricular outflow tract pseudoaneurysms were identified as the cause of his symptoms which warranted treatment. Due to this patient’s risk of surgical intervention, a retrograde transaortic approach was used.

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The Southwest Respiratory and Critical Care Chronicles

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