Abstract:
Aortic regurgitation (AR) has a prevalence of 2.2% in elderly people. Transthoracic echocardiography (TTE) is usually performed to evaluate AR. Importantly, TTE is often impaired by adverse sonographic conditions and may lead to underestimation of AR severity. Therefore, transesophageal echocardiography is essential. Untreated AR is associated with high mortality. Aortic valve replacement improves survival but was limited to patients deemed operable. Recently the JenaValve has been proven to be safe and effective, thus enabling interventional treatment of older and multimorbid patients.
摘要:
主动脉瓣返流(AR)在老年人中的患病率为2.2%。通常进行经胸超声心动图(TTE)以评估AR。重要的是,TTE通常会受到不良超声检查条件的损害,并可能导致对AR严重程度的低估。因此,经食管超声心动图检查是必不可少的。未经治疗的AR与高死亡率相关。主动脉瓣置换术可提高生存率,但仅限于认为可手术的患者。最近,JenaValve被证明是安全有效的,从而实现对老年和多发病率患者的介入治疗。