[Severe aortic stenosis successfully treated with percutaneous aortic valve implantation].

Antonio Colombo, Leopoldo Bianconi, Matteo Montorfano, Iassen Michev, Giuseppe G L Biondi-Zoccai, Flavio Airoldi, Francesco Maisano, Elena Bignami, Raimondo Bellanca, Assunta Caloro, Antonino Granatelli, Giuseppe M Sangiorgi
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引用次数: 0

Abstract

Patients with severe calcific aortic stenosis are occasionally not amenable to surgery because of advanced age or severe co-morbidities. Percutaneous aortic valve dilation is used but has only limited time relief. While preclinical evidence on percutaneous aortic valve replacement seems promising, only very limited clinical data are available worldwide. We hereby present the first case of percutaneous aortic valve replacement successfully performed in Italy in a 74-year-old high-risk female. This case emphasizes the technical challenges inherent to this procedure and its promising role in selected very high-risk patients with severe aortic stenosis, notwithstanding the early and long-term risk of adverse events.

经皮主动脉瓣植入术成功治疗重度主动脉瓣狭窄。
严重钙化性主动脉瓣狭窄的患者有时由于高龄或严重的合并症而不适合手术。采用经皮主动脉瓣扩张术,但缓解时间有限。虽然经皮主动脉瓣置换术的临床前证据似乎很有希望,但全世界只有非常有限的临床数据。我们在此报告第一例经皮主动脉瓣置换术在意大利成功进行,患者为一名74岁的高危女性。本病例强调了该手术固有的技术挑战,以及它在选择的高危严重主动脉瓣狭窄患者中有希望的作用,尽管有早期和长期的不良事件风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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