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二尖瓣反流：心脏移植15年后左心室活检后的严重并发症。

Mitral Valve Regurgitation: A Severe Complication following Left Ventricular Biopsy 15 Years after Heart Transplantation.

作者信息

Vollroth Marcel, Seeburger Joerg, Kiefer Philipp, Garbade Jens, Mohr Friedrich W, Barten Markus J

机构信息

Department of Cardiac Surgery, Heartcenter Leipzig University, Struempellstraße 39, 04289 Leipzig, Germany.

出版信息

Case Rep Transplant. 2013;2013:407875. doi: 10.1155/2013/407875. Epub 2013 Mar 11.

DOI:10.1155/2013/407875
PMID:23555067
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3608116/
Abstract

A 71-year-old male patient underwent orthotopic heart transplantation in 1995. Due to left heart catheterization 15 years later, biopsy from the left ventricular apex was performed for rejection screening. Two days later, echocardiography revealed severe mitral valve regurgitation requiring mitral valve replacement. This is a very rare case showing that left heart biopsy may lead to severe hemodynamic complications with the need for surgical intervention.

摘要

一名71岁男性患者于1995年接受原位心脏移植。15年后因左心导管检查，从左心室心尖进行活检以筛查排斥反应。两天后，超声心动图显示严重二尖瓣反流，需要进行二尖瓣置换。这是一个非常罕见的病例，表明左心活检可能导致严重的血流动力学并发症，需要手术干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbe7/3608116/89a32cc1e2fd/CRIM.TRANSPLANTATION2013-407875.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbe7/3608116/89a32cc1e2fd/CRIM.TRANSPLANTATION2013-407875.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbe7/3608116/89a32cc1e2fd/CRIM.TRANSPLANTATION2013-407875.001.jpg

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本文引用的文献

1
Comparative analysis of the complications of 5347 endomyocardial biopsies applied to patients after heart transplantation and with cardiomyopathies: a single-center study.心脏移植术后及患有心肌病患者5347次心内膜心肌活检并发症的比较分析：一项单中心研究。
Transplant Proc. 2012 Oct;44(8):2473-8. doi: 10.1016/j.transproceed.2012.07.023.
2
Complications of endomyocardial biopsy in heart transplant patients: a retrospective study of 2117 consecutive procedures.心脏移植患者心内膜心肌活检的并发症：对2117例连续手术的回顾性研究
Transplant Proc. 2011 Jun;43(5):1908-12. doi: 10.1016/j.transproceed.2011.03.010.
3
Endomyocardial biopsy.
心内膜心肌活检
Ann Intern Med. 1982 Dec;97(6):885-94. doi: 10.7326/0003-4819-97-6-885.
4
Mitral valve replacement six years after cardiac transplantation.心脏移植术后六年二尖瓣置换术。
Ann Thorac Surg. 1991 Jun;51(6):1014-6. doi: 10.1016/0003-4975(91)91038-w.