Department of Pediatrics and Medicine, University of Virginia, Charlottesville, VA, USA.
Catheter Cardiovasc Interv. 2010 Sep 1;76(3):455-9. doi: 10.1002/ccd.22547.
While mitral valve repair using the MitraClip device is currently being evaluated in the EVEREST trials, surgical approaches to mitral regurgitation remain the standard of care, at least for operative candidates. Two patients in whom previous surgical annuloplasty failed to maintain MR reduction and who were treated with the MitraClip device after mitral valve repair surgery are described. Imaging and hemodynamic considerations associated with this approach are discussed.
虽然 MitraClip 装置修复二尖瓣目前正在 EVEREST 试验中进行评估,但对于手术候选者,二尖瓣反流的手术方法仍然是标准治疗方法。本文描述了 2 例先前手术瓣环成形术未能维持 MR 减少且在二尖瓣修复手术后接受 MitraClip 装置治疗的患者。讨论了与该方法相关的影像学和血流动力学考虑因素。