PDF(Pubmed)
Abstract：
Transcatheter aortic valve replacement (TAVR) has been recently indicated for the treatment of patients with severe aortic stenosis in all risk profiles. At present, TAVR has become mature at home and abroad, but the relevant experience is deficient in the treatment of aortic valve stenosis with outflow tract stenosis. One case of a high-risk surgical patient was included in this paper who suffered from severe aortic valve stenosis with left ventricular outflow tract (LVOT) stenosis. In this case, TAVR was performed with deep implantation of a new valve and both aortic valve stenosis and LVOT stenosis were treated through a single TAVR procedure. This case highlights the vital role of such treatment in dealing with both aortic valve stenosis and LVOT stenosis through a single TAVR procedure, thus providing valuable information for similar cases.
摘要：
经导管主动脉瓣置换术（TAVR）最近已被用于治疗所有风险中的严重主动脉瓣狭窄患者。目前,TAVR在国内外已经成熟,但在主动脉瓣狭窄伴流出道狭窄的治疗中，相关经验不足。本文包括一例高风险手术患者，该患者患有严重的主动脉瓣狭窄伴左心室流出道（LVOT）狭窄。在这种情况下,通过新瓣膜的深度植入进行TAVR，并通过单个TAVR手术治疗主动脉瓣狭窄和LVOT狭窄。该病例强调了通过单一TAVR手术治疗主动脉瓣狭窄和LVOT狭窄的重要作用。从而为类似案件提供有价值的信息。
