浙江大学学报（医学版）2025，Vol.54Issue(2)：161-166,6.DOI:10.3724/zdxbyxb-2024-0411
四叶主动脉瓣患者经导管主动脉瓣置换术中冠状动脉保护一例
A case of coronary artery protection in transcatheter aortic valve replacement of quadricuspid aortic valve
陈志鹏 1杨栋 1张涵1
作者信息
- 1. 昆明医科大学附属延安医院心内科,云南 昆明 650021
- 折叠
摘要
Abstract
A 72-year-old patient with quadricuspid aortic valve underwent transcatheter aortic valve replacement due to severe valve stenosis accompanied by moderate insufficiency.As initially planned,the right coronary artery was protected during the procedure.However,after the artificial valve was released,the left coronary artery was found to be blocked,so a coronary protection stent was implanted in the left coronary artery ostium under the guidance of intravascular ultrasonography.This case indicates that for patients with a quadricuspid aortic valve undergoing transcatheter aortic valve replacement,in addition to preoperative measurement of the aortic root,attention should also be paid to the coronary artery obstruction caused by the displacement of the artificial valve frame during the procedure.关键词
经导管主动脉瓣置换术/四叶主动脉瓣/血管内超声/冠状动脉保护/冠状动脉阻塞/病例报告Key words
Transcatheter aortic valve replacement/Quadricuspid aortic valve/Intravascular ultrasound/Coronary protection/Coronary artery obstruction/Case report分类
医药卫生引用本文复制引用
陈志鹏,杨栋,张涵..四叶主动脉瓣患者经导管主动脉瓣置换术中冠状动脉保护一例[J].浙江大学学报（医学版）,2025,54(2):161-166,6.
