摘要
患者,女,78岁,因"黑矇、气促4+年"入四川大学华西医院。入院前检查结果示:主动脉瓣重度狭窄,主动脉瓣二叶式畸形,主动脉角度61.54°,为极度横位心。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,最终患者通过经导管主动脉瓣置换术解除主动脉瓣狭窄,术中采用同侧网篮牵拉跨瓣释放的方法,顺利完成手术。术后1个月随访时,患者病情稳定,无并发症发生。该病例旨在为横位心主动脉瓣狭窄患者的治疗提供参考,未来希望能通过不断的临床实践,为这类患者提供一个更安全、更高效的治疗方案。
A 78-year-old female patient was admitted to West China Hospital of Sichuan University because of"amaurosis and polypnea for 4+years".The examination results before admission showed that severe stenosis of aortic valve,bicuspid aortic valve malformation,severe horizontal heart with 61.54°aortic angle.The preoperative evaluation of the patient indicated that the Society of Thoracic Surgeons score was 17.9%,which was high risk for surgery.After discussion by the heart team,the aortic stenosis was finally relieved by transcatheter aortic valve replacement.The operation was successfully completed by using the method of pulling and releasing the device with the same side basket.One month follow-up showed that the patient’s condition was stable and no complications occurred.This case aims to provide a reference for the treatment of horizontal heart with aortic stenosis.In the future,it is hoped that through continuous clinical practice,such patients will be provided with a safer and more efficient treatment plan.
作者
罗杰文
李怡坚
李茜
熊恬园
王子介
欧袁伟翔
王玺
冯沅
陈茂
LUO Jiewen;LI Yijian;LI Xi;XIONG Tianyuan;WANG Zijie;OU Yuanweixiang;WANG Xi;FENG Yuan;CHEN Mao(Department of Cardiology,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China)
出处
《华西医学》
CAS
2020年第4期438-441,共4页
West China Medical Journal
基金
四川省科学技术厅重点研发项目(2019YFS0349)。
关键词
经导管主动脉瓣置换术
二叶式主动脉瓣
横位心
Transcatheter aortic valve replacement
Bicuspid aortic valve
Horizontal heart
