一例二叶式主动脉瓣狭窄患者的手术处理_West China Medical Journal

Authors：

 李捷 , 丁焕宇 , 范瑞新 , 李光 , 付明 , 于长江 ,  罗建方

Corresponding author：

罗建方, Email: jianfangluo@sina.com

Keywords：

重度主动脉瓣狭窄; 二叶式畸形; 经导管主动脉瓣植入术

DOI：

10.7507/1002-0179.201801001

Video：

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患者，女，75岁。因“胸闷 3 年，加重伴乏力 2 个月”入院。患者既往因冠状动脉粥样硬化性心脏病于左前降支植入支架 2 枚。目前检查结果示：主动脉瓣重度狭窄并轻度反流，主动脉瓣二叶式畸形。因患者术前评估提示美国胸外科医师学会评分 17.9%，外科手术高危。经心脏团队讨论后，最终通过经导管主动脉瓣植入术解除主动脉瓣狭窄。

Citation： 李捷, 丁焕宇, 范瑞新, 李光, 付明, 于长江, 罗建方. 一例二叶式主动脉瓣狭窄患者的手术处理. West China Medical Journal, 2018, 33(2): 230-234. doi: 10.7507/1002-0179.201801001 Copy

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1. Baumgartner H, Falk V, Bax JJ, et al. 2017 ESC/EACTS Guidelines for the management of valvular heart disease. Eur Heart J, 2017, 38(36): 2739-2791.
2. Jilaihawi H, Chen M, Webb J, et al. A Bicuspid Aortic Valve Imaging Classification for the TAVR Era. JACC Cardiovasc Imaging, 2016, 9(10): 1145-1158.
3. Sievers HH, Schmidtke C. A classification system for the bicuspid aortic valve from 304 surgical specimens. J Thorac Cardiovasc Surg, 2007, 133(5): 1226-1233.
4. Zhao ZG, Jilaihawi H, Feng Y, et al. Transcatheter aortic valve implantation in bicuspid anatomy. Nat Rev Cardiol, 2015, 12(2): 123-128.
5. Liao YB, Li YJ, Xiong TY, et al. Comparison of procedural, clinical and valve performance results of transcatheter aortic valve replacement in patients with bicuspid versus tricuspid aortic stenosis. Int J Cardiol, 2018, 254: 69-74.
6. Patsalis PC, Al-Rashid F, Neumann T, et al. Preparatory balloon aortic valvuloplasty during transcatheter aortic valve implantation for improved valve sizing. JACC Cardiovasc Interv, 2013, 6(9): 965-971.

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一例二叶式主动脉瓣狭窄患者的手术处理

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