共 4 条
Severe Valvular Regurgitation and Late Prosthesis Embolization After Percutaneous Aortic Valve Implantation
被引:45
作者:
Clavel, Marie-Annick
[1
]
Dumont, Eric
[1
]
Pibarot, Philippe
[1
]
Doyle, Daniel
[1
]
De Larochelliere, Robert
[1
]
Villeneuve, Jacques
[1
]
Bergeron, Sebastien
[1
]
Couture, Christian
[1
]
Rodes-Cabau, Josep
[1
]
机构:
[1] Laval Hosp, Quebec Heart Inst, Ste Foy, PQ G1V 4G5, Canada
关键词:
STENOSIS;
D O I:
10.1016/j.athoracsur.2008.06.059
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
We report the case of a 79-year-old man with low-flow, low-gradient aortic stenosis who underwent transapical aortic valve implantation. The deployment of a 26-mm Edwards SAPIEN valve (Edwards Lifesciences Inc, Irvine, CA) was complicated with the occurrence of severe central aortic regurgitation that was successfully treated with the implantation of a second valve ("valve-invalve"). Postoperative progress was satisfactory but 2 days after the procedure he suddenly developed cardiogenic shock secondary to the migration of the aortic bioprothesis into the left ventricular outflow tract. Open-heart surgery was undertaken to remove the valves and perform standard aortic valve replacement, but the patient died perioperatively.
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页码:618 / 621
页数:5
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