重症大動脈弁狭窄を併存した大腿骨頸部骨折に対する同時手術の1例

Hip Fracture Repair with Concomitant Transcatheter Aortic Valve Implantation；Report of a Case

はじめに　高齢者の運動機能リハビリテーション中には，それまでに顕性化していなかった心疾患が増悪することがしばしば経験される．また今日の高齢化社会においては，疾患の内容や頻度が変化しており，適切な対応が求められている．われわれは未治療の重症大動脈弁狭窄（AS）を有して，左側の大腿骨頸部骨折（HF）を発症した症例で，多診療科間の連携により両疾患に対して治療し，良好な経過を得た1例を報告する．

The incidences of hip fracture and aortic valve stenosis are increasing in the aging population. Operative repair for hip fracture contributes to excellent clinical results. Transcatheter aortic valve implantation, which does not require cardiopulmonary bypass, represents a new era for the treatment of aortic valve stenosis. We herein describe a patient with both hip fracture and severe aortic valve stenosis. A 93-year-old woman underwent transcatheter aortic valve implantation for the valve stenosis immediately followed by open repair surgery for the fracture. She fully recovered without heart failure during the postoperative rehabilitation period. The performance of concomitant surgeries for hip fracture and aortic valve stenosis might increase in the future.