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在导管介入过程中,为了栓塞人工二尖瓣瓣叶,对紧急瓣进行重新更换。

Emergency valve re-replacement for embolization of prosthetic mitral valve disc during catheterization procedure.

机构信息

Department of Cardiothoracic Surgery, Mount Sinai Medical Center, New York, NY 10029, USA.

出版信息

Ann Thorac Surg. 2013 May;95(5):1784-7. doi: 10.1016/j.athoracsur.2012.09.087.

DOI:10.1016/j.athoracsur.2012.09.087
PMID:23608261
Abstract

A 47-year-old woman with a mechanical mitral valve underwent a catheter-based atrial fibrillation ablation procedure, which was complicated by the dislodgment and immediate embolization of one of the valve leaflets. Acute severe mitral regurgitation and cardiogenic shock developed, necessitating emergency reoperative mitral valve re-replacement. She subsequently underwent a successful staged retrieval of the embolized leaflet from the abdominal aorta.

摘要

一位 47 岁的女性患者因机械二尖瓣行导管消融术,其中一个瓣叶发生脱落并立即栓塞。患者迅速出现严重的二尖瓣反流和心源性休克,需要紧急再次手术行二尖瓣再次置换。随后,成功从腹主动脉分期取出了栓塞的瓣叶。

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评论:破碎的心如何修复:机械瓣膜小叶断裂
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