摘要
该病例为一例先天性动脉导管未闭(patent ductus arteriosus,PDA)伴重度主动脉瓣狭窄的58岁女性患者,入院时重度心力衰竭,双下肢重度浮肿无法平卧。由于合并主动脉弓部重度狭窄迂曲病变,经股动脉入路操作风险极高,经调整心功能后患者择期在全身麻醉下接受一站式PDA封堵和经颈动脉入路的经导管主动脉瓣置换术治疗。患者术后仅6 d出院,症状明显改善;随访3个月主动脉瓣膜跨瓣压差明显改善,动脉导管杂音消失,恢复情况良好。
This case was a 58-year-old female patient with patent ductus arteriosus(PDA) and severe aortic stenosis. Upon admission, she had severe heart failure and severe edema of both lower extremities unable to lie flat. After cardiac function adjustment and under general anesthesia, she underwent a one-stop operation of PDA occlusion and transcarotid transcatheter aortic valve replacement due to the severe aortic arch stenosis which brought high risk in transfemoral artery approach. Her symptoms improved significantly, and she was discharged only 6 days after operation.At the follow-up 3 months after operation, the aortic valve transvalvular pressure gradient improved significantly, the ductus arteriosus murmur disappeared, and the patient recovered well.
作者
张春鹏
王冠
李波
罗强
王鹤儒
赵雷
王智慧
刘斌
ZHANG Chunpeng;WANG Guan;LI Bo;LUO Qiang;WANG Heru;ZHAO Lei;WANG Zhihui;LIU Bin(Department of Cardiology,the Second Hospital of Jilin University,Changchun,Jilin 130041,P.R.China)
出处
《华西医学》
CAS
2022年第4期496-500,共5页
West China Medical Journal
基金
吉林省科技发展计划项目(20190701069GH)。
作者简介
通信作者:刘斌,Email:liubin3333@vip.sina.com。
