Low gradient aortic stenosis with preserved left ventricular ejection fraction and the role of valve replacement

被引:0
作者
莫与京 [1 ,2 ]
Martin Penicka [2 ]
Guy Van Camp [2 ]
周颖玲 [1 ]
机构
[1] Department of Cardiology,Guangdong Cardiovascular Institute,Guangdong Provincial Key Laboratory of Coronary Disease,Guangdong General Hospital,Guangdong Academy of Medical Sciences
[2] Cardiovascular Center Aalst,OLV Clinic Aalst
关键词
aortic stenosis; low gradient; low flow; preserved left ventricular ejection fraction;
D O I
10.16268/j.cnki.44-1512/r.2017.02.011
中图分类号
R654.2 [心脏];
学科分类号
1002 ; 100210 ;
摘要
Background Aortic valve replacement(AVR) improves survival in severe symptomatic aortic stenosis(AS).Yet, in many patients with severe AS, the timing of AVR remains poorly defined. In particular, it is challenging in patients with low mean pressure gradient(< 40 mmHg) and severe AS(aortic valve area(AVA) ≤ 1.0 cm~2)with preserved left ventricular(LV) ejection fraction.
引用
收藏
页码:157 / 159 +166
页数:4
相关论文
共 14 条
  • [1] Watchful observation versus early aortic valve replacement for symptomatic patients with normal flow, low-gradient severe aortic stenosis[J] . Duk-Hyun Kang,Jeong Yoon Jang,Sung-Ji Park,Dae-Hee Kim,Sung-Cheol Yun,Jong-Min Song,Seung Woo Park,Cheol-Hyun Chung,Jae-Kwan Song,Jae-Won Lee.Heart . 2015 (17)
  • [2] Progression of Low-Gradient, Low-Flow, Severe Aortic Stenosis With Preserved Left Ventricular Ejection Fraction[J] . Christophe Tribouilloy,Dan Rusinaru,Vincent Charles,Jamila Boulif,Frédéric Maes,Franck Lévy,Agnès Pasquet,Sylvestre Maréchaux,Jean-Louis Vanoverschelde.The American Journal of Cardiology . 2015 (4)
  • [3] Natural History of Paradoxical Low-Gradient Severe Aortic Stenosis
    Maes, Frederic
    Boulif, Jamila
    Pierard, Sophie
    de Meester, Christophe
    Melchior, Julie
    Gerber, Bernhard
    Vancraeynest, David
    Pouleur, Anne-Catherine
    Lazam, Siham
    Pasquet, Agnes
    Vanoverschelde, Jean-Louis
    [J]. CIRCULATION-CARDIOVASCULAR IMAGING, 2014, 7 (04) : 714 - U233
  • [4] Survival after intervention in patients with low gradient severe aortic stenosis and preserved left ventricular function[J] . Avishay Grupper,Roy Beigel,Elad Maor,Rafael Kuperstein,Ilan Hai,Olga Perelshtein,Ilan Goldenberg,Micha Feinberg,Sagit Ben Zekry.The Journal of Thoracic and Cardiovascular Surgery . 2014
  • [5] Flow-Gradient Patterns in Severe Aortic Stenosis With Preserved Ejection Fraction: Clinical Characteristics and Predictors of Survival[J] . Mackram F. Eleid,Paul Sorajja,Hector I. Michelena,Joseph F. Malouf,Christopher G. Scott,Patricia A. Pellikka.Circulation . 2013 (16)
  • [6] Outcome and Impact of Surgery in Paradoxical Low-Flow, Low-Gradient Severe Aortic Stenosis and Preserved Left Ventricular Ejection Fraction[J] . Dania Mohty,Julien Magne,Mathieu Deltreuil,Victor Aboyans,Najmeddine Echahidi,Claude Cassat,Philippe Pibarot,Marc Laskar,Patrice Virot.Circulation . 2013 (11 s)
  • [7] Impact of Aortic Valve Replacement on Outcome of Symptomatic Patients With Severe Aortic Stenosis With Low Gradient and Preserved Left Ventricular Ejection Fraction
    Ozkan, Alper
    Hachamovitch, Rory
    Kapadia, Samir R.
    Tuzcu, E. Murat
    Marwick, Thomas H.
    [J]. CIRCULATION, 2013, 128 (06) : 622 - 631
  • [8] Invasive Hemodynamic Characteristics of Low Gradient Severe Aortic Stenosis Despite Preserved Ejection Fraction
    Lauten, Juliane
    Rost, Christian
    Breithardt, Ole A.
    Seligmann, Christian
    Klinghammer, Lutz
    Daniel, Werner G.
    Flachskampf, Frank A.
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2013, 61 (17) : 1799 - 1808
  • [9] Valve Replacement for Severe Aortic Stenosis With Low Transvalvular Gradient and Left Ventricular Ejection Fraction Exceeding 0.50[J] . Giuseppe Tarantini,Elisa Covolo,Renato Razzolini,Claudio Bilato,Anna Chiara Frigo,Massimo Napodano,Enrico Favaretto,Chiara Fraccaro,Giambattista Isabella,Gino Gerosa,Sabino Iliceto,Alain Cribier.The Annals of Thoracic Surgery . 2011 (6)
  • [10] Low-Gradient Aortic Valve Stenosis[J] . Journal of the American College of Cardiology . 2011 (4)