分子影像学杂志2019，Vol.42Issue(2)：190-193,4.
经心尖途径行主动脉瓣植入术经验
Experience of aortic valve implantation through apical approach
摘要
Abstract
ObjectiveTo evaluate the perioperative outcome of patients with high-risk aortic valve disease performed with transapical aortic valve implantation.MethodsA retrospective analysis of the perioperative experience of 3 patients with transapical aortic valve implantation in our department from September to November 2018.ResultsAll patients underwent a full evaluation of the patient's surgical risk and benefit by the cardiac team before surgery. The risk was analyzed carefully. The implantation angle, valve type and surgical approach were evaluated by the aortic valve root CTA before surgery. The J-valve valve was released under continuous transesophageal ultrasound guidance. The operations were successful. One patient had high atrioventricular block after operation, and a permanent cardiac pacemaker was implanted by the cardiologist before discharge. The other two patients recovered well. No paravavular leak and arrhythmia were observed. The review of cardiac function was significantly improved, and the recent clinical effect was good.ConclusionTransapical aortic valve implantation is an effective treatment for patients with high-risk aortic valve, which significantly reduces the risk of perioperative period. It is satisfactory in early postoperative results.关键词
主动脉瓣病变/ 经导管/ 微创/ 心尖途径/Key words
aortic valve disease/ transcatheter/ minimally invasive/ transapical/引用本文复制引用
朱鹏,腾中华,陈曌,郑少忆,姜妤,李偲,刘克玄,崔凯,修建成,宾建平,侯晓敏..经心尖途径行主动脉瓣植入术经验[J].分子影像学杂志,2019,42(2):190-193,4.基金项目
国家自然科学基金青年项目（81600321）；广州市科技计划项目（201804010067）；南方医科大学南方医院院长基金项目 （）
