Transcatheter aortic valve implantation after previous mechanical mitral valve replacement in a patient with coexistent rheumatic aortic stenosis and regurgitation
A 67-year-old female was referred to our center with rheumatic aortic stenosis (AS) and aortic regurgitation (AI). As the patient was a high-risk case for surgery, we chose transcatheter aortic valve implantation (TAVI) as the treatment of choice. However, the thickened, long, and mildly calcified aortic valve, and the very small distance (7 mm) between the aortic annulus and mechanical mitral valve (MMV) increased the risk of coronary artery occlusion and flap clamping of MMV. As the left ventricle was small in size, transfemoral TAVI, which causes lesser degree of trauma to the patient, was successfully performed eventually.
第一作者机构:[1]Capital Med Univ, Beijing Anzhen Hosp, Dept Cardiac Surg, Beijing 100029, Peoples R China;
通讯作者:
通讯机构:[1]Capital Med Univ, Beijing Anzhen Hosp, Dept Cardiac Surg, Beijing 100029, Peoples R China;[3]Beijing Anzhen Hosp, Dept Cardiac Surg, Beijing 100029, Peoples R China
推荐引用方式(GB/T 7714):
Li Yuehuan,Zhang Haibo,Zhou Yujie,et al.Transcatheter aortic valve implantation after previous mechanical mitral valve replacement in a patient with coexistent rheumatic aortic stenosis and regurgitation[J].Cardiovascular diagnosis and therapy.2019,9(5):529-532.doi:10.21037/cdt.2019.07.14.
APA:
Li, Yuehuan,Zhang, Haibo,Zhou, Yujie&Meng, Xu.(2019).Transcatheter aortic valve implantation after previous mechanical mitral valve replacement in a patient with coexistent rheumatic aortic stenosis and regurgitation.Cardiovascular diagnosis and therapy,9,(5)
MLA:
Li, Yuehuan,et al."Transcatheter aortic valve implantation after previous mechanical mitral valve replacement in a patient with coexistent rheumatic aortic stenosis and regurgitation".Cardiovascular diagnosis and therapy 9..5(2019):529-532