由于人工瓣膜移位引起的冠状动脉口阻塞是一种罕见且危及生命的并发症,无缝合主动脉瓣置换术(AVR)并伴随瓣膜手术需要特别谨慎。总的来说,当AVR后发生冠状动脉口阻塞时,进行冠状动脉搭桥手术,但在某些情况下可能需要考虑其他选择。在这里,我们介绍了一例82岁女性患者的冠状动脉闭塞病例,该患者在77岁时因主动脉瓣狭窄和二尖瓣狭窄接受了AVR和二尖瓣置换术.在左主冠状动脉口内膜切除术后进行了一项涉及重做AVR和经皮冠状动脉介入治疗的混合手术。总结一下,我们介绍了一例AVR后冠状动脉阻塞患者的混合AVR病例,该病例使用该方法成功治疗.
Coronary ostium obstruction due to dislodgement of the prosthetic valve is a rare and life-threatening complication, and particular caution is required for sutureless aortic valve replacement (AVR) with concomitant valvular surgery. In general, coronary artery bypass surgery is performed when coronary ostium obstruction occurs after AVR, but other options may need to be considered in some cases. Herein, we present a
case of coronary artery occlusion in an 82-year-old female patient who had undergone AVR and mitral valve replacement for aortic valve stenosis and mitral valve stenosis at the age of 77 years. A hybrid procedure involving redo AVR and percutaneous coronary intervention after left main coronary ostium endarterectomy was performed. To summarize, we present a
case of hybrid AVR in a patient with coronary artery obstruction after AVR that was successfully managed using this method.