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缘对缘二尖瓣修复术治疗前叶脱垂伴二尖瓣环广泛钙化：病例报告。

Edge-to-edge mitral valve repair for anterior leaflet prolapse associated with extensive calcification of the mitral annulus: Report of a case.

机构信息

Department of Cardiovascular Surgery, Social Insurance Chukyo Hospital, 1-1-10 Sanjyo, Minami-ku, Nagoya, 457-8510, Japan.

出版信息

Surg Today. 2010 Mar;40(3):251-3. doi: 10.1007/s00595-009-4041-6. Epub 2010 Feb 24.

DOI:10.1007/s00595-009-4041-6
PMID:20180079
Abstract

Extensive mitral annular calcification remains a technical challenge in mitral valve surgery. Decalcification and reconstruction of the mitral annulus is an established technique, but it is time consuming and technically demanding. This report presents the case of an 88-year-old diabetic female patient in whom edge-to-edge repair was completed quickly, with good early results thus being obtained.

摘要

广泛的二尖瓣环钙化仍然是二尖瓣手术的技术挑战。二尖瓣环去钙化和重建是一种已确立的技术，但耗时且技术要求高。本报告介绍了一位 88 岁糖尿病女性患者的病例，该患者快速完成了瓣环对瓣环修复，取得了良好的早期效果。

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本文引用的文献

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A transesophageal echocardiographic and cine-fluoroscopic evaluation of an ATS prosthetic valve opening.经食管超声心动图和电影荧光透视法对ATS人工瓣膜开放的评估。
Surg Today. 2009;39(4):300-5. doi: 10.1007/s00595-008-3895-3. Epub 2009 Mar 25.
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Outcomes after repair of the anterior mitral leaflet for degenerative disease.退行性疾病二尖瓣前叶修复后的结果。
Ann Thorac Surg. 2008 Sep;86(3):708-17; discussion 708-17. doi: 10.1016/j.athoracsur.2008.05.045.
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Midterm results of edge-to-edge mitral valve repair without annuloplasty.
无瓣环成形术的二尖瓣缘对缘修复术的中期结果
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Mitral valve surgery in patients with extensive calcification of the mitral annulus.二尖瓣环广泛钙化患者的二尖瓣手术
J Thorac Cardiovasc Surg. 2003 Sep;126(3):777-82. doi: 10.1016/s0022-5223(03)00081-3.
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The double-orifice technique in mitral valve repair: a simple solution for complex problems.二尖瓣修复中的双孔技术：解决复杂问题的简单方法。
J Thorac Cardiovasc Surg. 2001 Oct;122(4):674-81. doi: 10.1067/mtc.2001.117277.
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Extensive calcification of the mitral valve anulus: pathology and surgical management.二尖瓣瓣环广泛钙化：病理学与外科治疗
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Reconstruction of the mitral anulus. A ten-year experience.二尖瓣环重建：十年经验
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