| Item type |
学術雑誌論文 / Journal Article(1) |
| タイトル |
|
|
タイトル |
Transapical Transcatheter Aortic Valve Implantation for a Patient with Severe Iliac Artery Stenosis: Our Surgical Ingenuity for Frail Patients |
|
言語 |
en |
| 言語 |
|
|
言語 |
eng |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Aortic valve stenosis |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
surgical approach |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
thoracotomy |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
TAVI (transcatheter aortic valve implantation) |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 著者 |
Torikai, Kei
Asano, Naoki
Ota, Kazufumi
Tamura, Yohei
Mori, Kahoko
Saito, Masahito
Ogawa, Hironaga
Niimi, Kazuho
Kishigami, Saito
Itabashi, Hiroshi
Kobayashi, Sayuki
Taguchi, Isao
Toda, Koichi
|
| 書誌情報 |
en : Dokkyo Medical Journal
巻 4,
号 3,
p. 237-241,
発行日 2025-06-25
|
| 記事種別 |
|
|
値 |
Case Report |
| 内容記述 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
We started transcatheter aortic valve implantation (TAVI) in 2018, and while accumulating 391 cases, we have developed a transapical approach that can be performed safely with good reproducibility, so we will introduce our surgical ingenuity in this case report. The case was an 85-year-old woman diagnosed with symptomatic severe aortic valve stenosis. Considering her age, surgical risk, and frailty, TAVI was indicated. Although the aortic annulus was small, her aortic root anatomy was suitable for TAVI. Because of occlusion and severe stenosis at the bilateral iliac arteries, a transapical approach was chosen. After 5th intercostal left thoracotomy, two horizontal mattress sutures of 3-0 prolene SH needles with felt were placed near the apex of the left ventricular anterior wall, in which the stiff wire was punctured and placed. After inserting the 18 Fr sheath, the SAPIEN3 23 mm is implanted uneventfully without peri-valvular regurgitation which was confirmed by transesophageal echocardiogram. The sheath was removed and the puncture site was closed with already placed 3-0 prolene sutures under ventricular tachycardia induced by temporary pacing in order to control blood pressure and wall tension at the apex. The postoperative course was uneventful and she was discharged to home a week after surgery. |
|
言語 |
en |
| 出版者 |
|
|
出版者 |
Dokkyo Medical Society |
| ISSN |
|
|
収録物識別子タイプ |
EISSN |
|
収録物識別子 |
2436-522X |
| 書誌レコードID |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA12941861 |
| DOI |
|
|
関連タイプ |
isIdenticalTo |
|
|
識別子タイプ |
DOI |
|
|
関連識別子 |
https://doi.org/10.51040/dkmj.2024-027 |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
DKMJ-4-3-8.pdf (501 KB)
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