经导管主动脉瓣植入术时代的双腔主动脉瓣疾病管理。

IF 5.1 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS
Heart Pub Date : 2024-10-28 DOI:10.1136/heartjnl-2024-324054
Marjan Jahangiri, Bernard Prendergast
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引用次数: 0

摘要

在经导管主动脉瓣植入术(TAVI)应用迅速扩大的时代,双尖瓣主动脉瓣(BAV)疾病患者的治疗远不如三叶解剖的患者成熟。对于合适的患者,单独手术主动脉瓣置换术的效果非常好,而且手术还可以治疗主动脉根部和升主动脉的并发病变,而这些病变在这类患者中经常出现。相反,TAVI 为可能不适合手术的老年患者提供了一个很好的选择,尽管 BAV 疾病的治疗效果仅在相对较小的非随机系列中有所报道。在此,我们将讨论有关这一主题的相关文献,并概述在这种具有挑战性的情况下的当代介入治疗方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Management of bicuspid aortic valve disease in the transcatheter aortic valve implantation era.

In an era of rapidly expanding use of transcatheter aortic valve implantation (TAVI), the management of patients with bicuspid aortic valve (BAV) disease is far less well established than in those with trileaflet anatomy. Results of isolated surgical aortic valve replacement are excellent in suitable patients, and surgery also allows treatment of concomitant pathology of the aortic root and ascending aorta that is frequently encountered in this cohort. Conversely, TAVI provides an excellent alternative in older patients who may be unsuitable for surgery, although outcomes in BAV disease have only been reported in relatively small non-randomised series. Here, we discuss the pertinent literature on this topic and outline contemporary interventional treatment options in this challenging setting.

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来源期刊
Heart
Heart 医学-心血管系统
CiteScore
10.30
自引率
5.30%
发文量
320
审稿时长
3-6 weeks
期刊介绍: Heart is an international peer reviewed journal that keeps cardiologists up to date with important research advances in cardiovascular disease. New scientific developments are highlighted in editorials and put in context with concise review articles. There is one free Editor’s Choice article in each issue, with open access options available to authors for all articles. Education in Heart articles provide a comprehensive, continuously updated, cardiology curriculum.
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