浙江大学学报（医学版）2025，Vol.54Issue(2)：149-153,5.DOI:10.3724/zdxbyxb-2024-0359
经导管主动脉瓣置换术后心功能下降患者行左束支起搏一例
Left bundle branch pacing in a patient with decreased cardiac function after transcatheter aortic valve replacement
摘要
Abstract
A case of an elderly patient with severe aortic insufficiency who carried high risks for surgical valve replacement.After a detailed preoperative evaluation,the patient successfully received transapical transcatheter aortic valve replacement.Postoperatively,complete left bundle branch block developed,resulting in impaired left ventricular function.Despite guideline-directed medical therapy for heart failure,cardiac function showed no significant recovery.At 4.5 months post-surgery,left bundle branch pacing was performed,leading to a marked improvement in cardiac function.关键词
经导管主动脉瓣置换术/主动脉瓣关闭不全/心功能不全/左束支起搏/病例报告Key words
Transcatheter aortic valve replacement/Aortic insufficiency/Cardiac insufficiency/Left bundle branch pacing/Case report分类
医药卫生引用本文复制引用
李兴红,蒋巨波,苏圣桉,周方..经导管主动脉瓣置换术后心功能下降患者行左束支起搏一例[J].浙江大学学报（医学版）,2025,54(2):149-153,5.基金项目
浙江省医药卫生科技计划(2023XY119)This work was supported by the Medical and Healthy Science and Technology Project of Zhejiang Province(2023XY119) （2023XY119）
