Department of Pediatric and Congenital Cardiology, University Hospitals Leuven, Leuven, Belgium.
Catheter Cardiovasc Interv. 2011 Apr 1;77(5):692-5. doi: 10.1002/ccd.22814. Epub 2011 Mar 8.
We report a successful percutaneous revalvulation of a dysfunctional tricuspid bioprothesis in an 8-year-old child. Five years after implanting a 25-mm Carpentier-Edwards valve in the tricuspid position, the prosthesis showed significant dysfunction with clinical right heart failure. A 26-mm Edwards-Sapien XT inverted aortic valve was successfully implanted through a 19F sheath using a jugular approach. Such procedure can significantly postpone the need for surgical replacement of a biological valve.
我们报告一例 8 岁儿童成功行经皮二尖瓣瓣周漏修复术。在二尖瓣位置植入 25 毫米 Carpentier-Edwards 瓣膜 5 年后，该瓣膜出现严重功能障碍并伴有临床右心衰竭。我们通过颈静脉途径，使用 19F 鞘管成功植入 26 毫米 Edwards-Sapien XT 主动脉瓣。该方法可显著推迟生物瓣再次手术置换的时间。
