An elderly female patient, with systemic multiple organ dysfunction, suffered from severe aortic valve stenosis, was to undergo transcatheter aortic valve replacement (TAVR). She was intolerance of the computed tomography examination before surgery. Bedside echocardiography was employed to evaluate the patient’s aortic valve stenosis, valve anatomy and type, the condition of aortic root, the distance from coronary to aortic root, and lower-extremity vascular access. Finally, the emergent TAVR was successfully performed under general anesthesia, and the aortic valve trans-prosthetic gradient met a remarkable decrease after surgery.
Citation：
LI Jianghua, LI Tangzhiming, LIU Cheng, LIU Qiyun, LIU Huadong, DONG Shaohong. Emergent transcatheter aortic valve replacement under ultrasound guidance without CT angiography analysis: a case report. West China Medical Journal, 2020, 35(9): 1127-1130. doi: 10.7507/1002-0179.202002414
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Copyright © the editorial department of West China Medical Journal of West China Medical Publisher. All rights reserved
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中国医师协会心血管内科医师分会结构性心脏病专业委员. 经导管主动脉瓣置换术中国专家共识 (2020 更新版). 中国介入心脏病学杂志, 2020, 28(6): 301-309.
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| 2. |
Smith CR, Leon MB, Mack MJ, et al. Transcatheter versus surgical aortic-valve replacement in high-risk patients. N Engl J Med, 2011, 364(23): 2187-2198.
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Kashiyama N, Kuratani T, Torikai K, et al. Urgent transcatheter aortic valve replacement for severe aortic valve stenosis with acute decompensated heart failure: report of a case. Surg Today, 2015, 45(7): 911-914.
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| 4. |
Kolte D, Khera S, Vemulapalli S, et al. Outcomes following urgent/emergent transcatheter aortic valve replacement: insights from the STS / ACC TVT registry. JACC Cardiovasc Interv, 2018, 11(12): 1175-1185.
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Singh V, Damluji AA, Mendirichaga R, et al. Elective or emergency use of mechanical circulatory support devices during transcatheter aortic valve replacement. J Interv Cardiol, 2016, 29(5): 513-522.
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| 6. |
中华医学会心血管病学分会结构性心脏病学组, 中国医师学会心血管内科医师分会结构性心脏病专业委员会. 中国经导管主动脉瓣置换术临床路径专家共识. 中国循环杂志, 2018, 33(12): 1162-1169.
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- 1. 中国医师协会心血管内科医师分会结构性心脏病专业委员. 经导管主动脉瓣置换术中国专家共识 (2020 更新版). 中国介入心脏病学杂志, 2020, 28(6): 301-309.
- 2. Smith CR, Leon MB, Mack MJ, et al. Transcatheter versus surgical aortic-valve replacement in high-risk patients. N Engl J Med, 2011, 364(23): 2187-2198.
- 3. Kashiyama N, Kuratani T, Torikai K, et al. Urgent transcatheter aortic valve replacement for severe aortic valve stenosis with acute decompensated heart failure: report of a case. Surg Today, 2015, 45(7): 911-914.
- 4. Kolte D, Khera S, Vemulapalli S, et al. Outcomes following urgent/emergent transcatheter aortic valve replacement: insights from the STS / ACC TVT registry. JACC Cardiovasc Interv, 2018, 11(12): 1175-1185.
- 5. Singh V, Damluji AA, Mendirichaga R, et al. Elective or emergency use of mechanical circulatory support devices during transcatheter aortic valve replacement. J Interv Cardiol, 2016, 29(5): 513-522.
- 6. 中华医学会心血管病学分会结构性心脏病学组, 中国医师学会心血管内科医师分会结构性心脏病专业委员会. 中国经导管主动脉瓣置换术临床路径专家共识. 中国循环杂志, 2018, 33(12): 1162-1169.
