Ken-Valve经心尖途径导管主动脉瓣置换术治疗主动脉瓣重度狭窄合并重度反流一例  

Transapical transcatheter aortic valve replacement using Ken-Valve for severe aortic stenosis combined with severe aortic regurgitation:A case report

作　　者：刘路路[1] 康哲锋 石峻[1] 郭应强[1] LIU Lulu;KANG Zhefeng;SHI Jun;GUO Yingqiang(Department of Cardiovascular Surgery,West China Hospital,Sichuan University,Chengdu,610041,P.R.China)

机构地区：[1]四川大学华西医院心脏大血管外科,成都610041

出　　处：《中国胸心血管外科临床杂志》2022年第5期658-661,共4页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

摘　　要：经导管主动脉瓣置换术(transcatheter aortic valve replacement,TAVR)在治疗重度主动脉瓣狭窄中的应用不断增加。新一代介入瓣膜器械的应用,增强了手术的安全性和有效性。本文报道了1例72岁主动脉重度反流合并中度狭窄的男性患者,经评估为外科中高风险,应用Ken-Valve瓣膜经心尖途径TAVR。手术导管操作时间8 min,术中失血量50 mL,术后手术室即刻拔除气管插管,术后第4 d复查超声心动图,主动脉瓣叶活动良好,无瓣口及瓣周漏,术后第5 d出院。经心尖入路Ken-Valve瓣膜治疗主动脉瓣疾病,操作简单,手术时间短。Transcatheter aortic valve replacement(TAVR)for severe aortic stenosis is growing rapidly.The use of new heart valves prosthesis has improved surgical safety and efficacy.This report described a 72-year-old male patient with severe aortic stenosis combined with severe aortic regurgitation,who was evaluated at moderate-high risk of surgery and received a transapical TAVR using the Ken-Valve heart valve.The transcatheter operation time was 8 min,and the blood loss was 50 mL.The tracheal intubation was removed immediately after the surgery.Transesophageal echocardiography on the 4th postoperative day showed that the aortic valve leaflets worked well,and there was no valve orifice and paravalvular leakage.The patient was discharged on the 5th day after the surgery without complications.Transapical TAVR using Ken-Valve was an easy surgical procedure for aortic valve disease,and had short operation time.

关 键 词：主动脉瓣反流 主动脉瓣狭窄 经导管主动脉瓣置换 Ken-Valve瓣膜 

分 类 号：R654.2[医药卫生—外科学]