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经皮二尖瓣瓣周漏封堵术

[Percutaneous closure of mitral perivalvular leak].

作者信息

Swiatkiewicz Iwona, Chojnicki Maciej, Woźnicki Marek, Gierach Joanna, Fiszer Roland, Sielski Sławomir, Kubica Jacek

机构信息

Katedra i Kliknika Kardiologii i Chorób Wewnetrznych, Collegium Medicum, Uniwersytet Mikołaja Kopernika, Toruń.

出版信息

Kardiol Pol. 2009 Jul;67(7):762-4.

Abstract

Paravalvular leak (PVL) is a complication observed in patients after prosthetic valve replacement. The incidence of PVL is estimated as 2-3%. The cause of PVL may be paravalvular infection, suture continuity disruption, damage of tissues around the annulus or limitation of disc mobility by thrombus or vegetation. The preferable method of treatment of PVL is surgery. Recently, percutaneous closure of PVL became an alternative method. We present a case of successfully completed percutaneous closure of PVL with the use of Amplatzer occluder device in a patient with mitral PVL.

摘要

瓣周漏(PVL)是人工瓣膜置换术后患者中观察到的一种并发症。PVL的发生率估计为2%-3%。PVL的原因可能是瓣周感染、缝线连续性中断、瓣环周围组织损伤或血栓或赘生物导致瓣叶活动受限。PVL的首选治疗方法是手术。最近,经皮封堵PVL成为一种替代方法。我们报告一例二尖瓣PVL患者使用Amplatzer封堵器成功完成经皮封堵PVL的病例。

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