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经导管主动脉瓣膜置换加微创冠状动脉旁路移植术1例报告并文献复习 预览

TRANSCATHETER AORTIC VALVE IMPLANTATION COMBINED WITH MINIMALLY INVASIVE CORONARY ARTERY BYPASS GRAFTING: A CASE REPORT AND LITERATURE REVIEW
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摘要 目的 总结经导管主动脉瓣膜置换(TAVI)手术结合小切口不停搏冠状动脉旁路移植手术(MID-CAB)的治疗体会。方法 1例主动脉瓣膜重度狭窄老年女性,合并冠状动脉前降支严重钙化狭窄,在杂交手术室全麻下完成经左侧第4肋间小切口的MID-CAB手术,后经左侧颈总动脉植入TAVI瓣膜。结果 病人手术后恢复顺利,因术后并发Ⅲ度房室传导阻滞安装心脏永久起搏器,无其他并发症。结论TAVI+MID-CAB治疗高危的主动脉瓣膜疾病合并冠心病病人安全有效。 Objective To summarize the experience in transcatheter aortic valve implantation (TAVI) combined with minimally invasive direct coronary artery bypass surgery (MID-CAB). Methods An elderly woman with severe aortic valve stenosis and severe calcification and stenosis of the anterior descending coronary artery underwent MID-CAB via a small incision at the left fourth intercostal space, followed by TAVI via the left common carotid artery. Results The patient recovered well after surgery, and a pacemaker was implanted due to grade Ⅲ atrioventricular block. No other complications were observed. Conclusion TAVI combined with MID-CAB and TAVI is safe and effective in the treatment of high-risk aortic valve disease with coronary heart disease.
作者 牛兆倬 邵一兵 孙立新 戴红艳 毕晓磊 池一凡 NIU Zhaozhuo;SHAO Yibing;SUN Lixin;DAI Hong- yan;BI Xiaolei;CHI Yifan(Heart Center, Qingdao Municipal Hospital, Qingdao 266071, China)
出处 《青岛大学学报(医学版)》 CAS 2019年第2期201-205,共5页 JOURNAL OF QINGDAO UNIVERSITY (MEDICAL SCIENCES)
基金 国家自然科学基金青年科学基金项目(81700284)。
关键词 人工心脏瓣膜 冠状动脉旁路移植术 非体外循环 主动脉瓣狭窄 冠状动脉疾病 最小侵入性外科手术 病例报告 heart valve prosthesis coronary artery bypass, off-pump aortic valve stenosis coronary artery disease minimally invasive surgical procedures case reports
作者简介 牛兆倬(1974-),男,博士,副主任医师;通讯作者:池一凡(1964-),男,博士,主任医师,硕士生导师。E-mail:chiyifan@hotmail.com。
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