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| 经股动脉球囊扩张式主动脉瓣置换术的初步经验 |
| 陆清声1△,洪毅1△,吴宏2,王志农3,李卫萍4,张勇学1,李南1,马宇5,秦永文2,景在平1* |
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(1. 第二军医大学长海医院血管外科,上海 200433
2. 第二军医大学长海医院心血管内科,上海 200433
3. 第二军医大学长征医院心胸外科,上海 200003
4. 第二军医大学长海医院超声诊断科,上海 200433
5. 第二军医大学长海医院麻醉科,上海 200433
△共同第一作者
*通信作者) |
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| 摘要: |
| 目的探讨经股动脉球囊扩张式主动脉瓣置换术治疗严重主动脉瓣狭窄患者的可行性。方法选取3例严重主动脉瓣钙化狭窄的患者，术前评估无法耐受传统开放手术，行经股动脉球扩式主动脉瓣置换术。结果 3例均经股动脉完成，其中1例经心尖穿刺辅助完成。3例手术全部成功，术后患者主动脉瓣功能显著改善，无并发症，无死亡。结论经股动脉球扩式主动脉瓣置换术可用于国人严重主动脉瓣狭窄患者，但在术前准备与评估、术中操作等方面提出了更高的要求。 |
| 关键词: 主动脉瓣置换术 主动脉瓣狭窄 经股动脉 经导管 |
| DOI：10.3724/SP.J.1008.2011.01335 |
| 投稿时间：2011-11-03修订日期：2011-12-03 |
| 基金项目: |
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| Aortic valve replacement via transfemoral balloon dilation: an initial experience |
| LU Qing-sheng1△, HONG Yi1△, WU Hong2, WANG Zhi-nong3, LI Wei-ping4, ZHANG Yong-xue1, LI Nan1, MA Yu5, QIN Yong-wen2, JING Zai-ping1* |
(1. Department of Vascular Surgery, Changhai Hospital, Second Military Medical University, Shanghai 200433, China
2. Department of Cardiology, Changhai Hospital, Second Military Medical University, Shanghai 200433, China
3. Department of Cardiothoracic Surgery, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China
4. Department of UItrasonic Diagnosis, Changhai Hospital, Second Military Medical University, Shanghai 200433, China
5. Department of Anesthesiology, Changhai Hospital, Second Military Medical University, Shanghai 200433, China
△Co-first authors.
*Corresponding author.) |
| Abstract: |
| ObjectiveTo discuss the feasibility of treating patients with severe aortic valve stenosis by aortic valve replacement via transfemoral balloon dilation. MethodsThree patients with severe aortic valve stenosis, who could not tolerate traditional open surgery, were chosen to receive aortic valve replacement via transfemoral balloon dilation. ResultsAll the three operations were successfully done by transfemoral approach, including one assisted by transapical puncture. The aortic valve function of patients was improved, and there was no related complication or death. ConclusionAortic valve replacement via transfemoral balloon dilation can be used for treatment of Chinese patients with severe aortic valve stenosis; but which demands more detailed preoperative preparation, evaluation, and surgical manipulation. |
| Key words: aortic valve replacement aortic stenosis transfemoral transcatheter |
