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Laparoscopic colectomy after transcatheter aortic valve implantation in an elderly patient with obstructive descending colon cancer and severe aortic stenosis: a case report

机译:老年梗阻性降结肠癌合并严重主动脉瓣狭窄的老年患者行经导管主动脉瓣植入术的腹腔镜结肠切除术一例

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摘要

BackgroundThe demand for laparoscopic colectomy is increasing due to greater number of elderly colon cancer patients, and it is important to evaluate existing comorbidities to ensure perioperative safety. Aortic stenosis (AS) is one of the most common heart diseases in the elderly, and elderly cancer patients with severe AS may be considered ineligible for optimal cancer treatment if they cannot endure surgical aortic valve replacement (SAVR). Recently, transcatheter aortic valve implantation (TAVI) has become a valid option in patients who are high risk for SAVR. We herein present the first case of an elderly cancer patient with severe AS who underwent laparoscopic colectomy after TAVI.
机译:背景技术由于老年结肠癌患者人数增加,对腹腔镜结肠切除术的需求正在增加,因此评估现有合并症以确保围手术期安全非常重要。主动脉瓣狭窄(AS)是老年人中最常见的心脏病之一,患有重度AS的老年癌症患者如果不能忍受外科主动脉瓣置换(SAVR),则可能被认为不符合最佳癌症治疗的条件。最近,经导管主动脉瓣植入术(TAVI)已成为SAVR高风险患者的有效选择。我们在此介绍了首例患有严重AS的老年癌症患者,该患者在TAVI后接受了腹腔镜结肠切除术。

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