Transapical transcatheter aortic valve replacement for aortic regurgitation in a patient with extremely horizontal aorta
- VernacularTitle:经心尖经导管主动脉瓣置换术治疗极度横位心主动脉瓣关闭不全一例
- Author:
Peijian WEI
1
,
2
,
3
;
Jian LIU
2
,
4
;
Weitao ZHUANG
2
,
5
,
6
;
Jiexu MA
1
,
2
,
3
;
Zhao CHEN
2
,
4
;
Yanjun LIU
2
,
4
;
Tong TAN
1
,
2
,
3
;
Hongxiang WU
2
,
4
;
Nianjin XIE
2
,
7
;
Jimei CHEN
2
,
4
;
Huiming GUO
2
,
4
Author Information
1. 1. Department of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People'
2. s Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080, P. R. China
3. 2. Shantou University Medical College, Shantou, 515041, Guangdong, P. R. China
4. Department of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People'
5. 2. Shantou University Medical College, Shantou, 515041, Guangdong, P. R. China
6. 3. Department of Thoracic Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People'
7. Department of Cardiology, Guangdong Cardiovascular Institute, Guangdong Provincial People'
- Publication Type:Journal Article
- Keywords:
Transapical;
transcatheter aortic valve replacement;
horizontal aorta
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2022;29(05):662-666
- CountryChina
- Language:Chinese
-
Abstract:
An 81-year-old male patient was admitted to Guangdong Provincial People's Hospital due to chest distress and shortness of breath after activity for half a year. Examination after admission revealed severe aortic insufficiency, tricuspid aortic valve and extremely horizontal aorta with an aortic root angulation of 99°. The Society of Thoracic Surgeons score was 7%. And taking the strong demand of the patient and his family into consideration, we decided to perform transapical transcatheter aortic valve replacement after multidisciplinary evaluation. The procedure was successfully performed by means of low deployment land zone and traction of pre-exist Prolene suture. Three-month follow-up confirmed the normal function of aortic prosthetic valve without residual regurgitation. This case provides a reference for the interventional treatment in patients with extremely horizontal aorta.
