经心尖经导管二尖瓣瓣中瓣植入术应用于人体。
Transapical transcatheter mitral valve-in-valve implantation in a human.
作者信息
Cheung Anson, Webb John G, Wong Daniel R, Ye Jian, Masson Jean-Bernard, Carere Ronald G, Lichtenstein Samuel V
机构信息
Division of Cardiac Surgery, St Paul's Hospital, University of British Columbia, Vancouver, Canada.
出版信息
Ann Thorac Surg. 2009 Mar;87(3):e18-20. doi: 10.1016/j.athoracsur.2008.10.016.
We describe a human transcatheter transapical mitral valve implant within a mitral bioprosthesis (valve-in-valve). A high-risk, 80-year-old man with symptomatic bioprosthetic mitral stenosis was positioned for anterior minithoracotomy. Left ventricular apical access was obtained. After balloon valvuloplasty, a cuffed, 26-mm Cribier-Edwards transcatheter valve (Edwards Lifesciences LLC, Irvine, CA) was deployed within the mitral xenograft, using rapid ventricular pacing. The transcatheter valve functioned properly postoperatively; however, the patient died of multiple organ dysfunction.
我们描述了一例在二尖瓣生物假体（瓣中瓣）内进行的经导管经心尖二尖瓣植入术。一名80岁的高危男性，患有症状性生物假体二尖瓣狭窄，接受了前外侧小切口开胸手术。获得左心室心尖入路。在球囊瓣膜成形术后，使用快速心室起搏，将一个带袖口的26毫米Cribier-Edwards经导管瓣膜（爱德华生命科学公司，加利福尼亚州欧文市）植入二尖瓣异种移植瓣膜内。术后经导管瓣膜功能正常；然而，患者死于多器官功能障碍。
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