摘要
一例重度主动脉瓣关闭不全的高龄患者,外科换瓣风险高,经术前详细评估后,成功经心尖路径完成经导管主动脉瓣置换术。患者术后出现完全性左束支传导阻滞并导致左心功能下降,心力衰竭指南导向的药物治疗后心功能改善不佳,于术后4.5个月行左束支起搏心功能明显改善。
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.
作者
李兴红
蒋巨波
苏圣桉
周方
LI Xinghong;JIANG Jubo;SU Sheng’an;ZHOU Fang(Department of Cardiology,Songyang Branch,the Second Affiliated Hospital,Zhejiang University School of Medicine,Lishui 323400,Zhejiang Province,China;Department of Cardiology,the Second Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310009,China)
出处
《浙江大学学报(医学版)》
北大核心
2025年第2期149-153,共5页
Journal of Zhejiang University(Medical Sciences)
基金
浙江省医药卫生科技计划(2023XY119)。
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
Transcatheter aortic valve replacement
Aortic insufficiency
Cardiac insufficiency
Left bundle branch pacing
Case report
