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本文引用的文献

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Transapical closure of mitral paravalvular leakage.经心尖二尖瓣瓣周漏封堵术。
Eur J Cardiothorac Surg. 2013 Apr;43(4):861-3. doi: 10.1093/ejcts/ezs608. Epub 2012 Nov 23.
2
Valvular procedures during ventricular assist device implantation.心室辅助装置植入期间的瓣膜手术
Transplant Proc. 2012 Jul-Aug;44(6):1732-4. doi: 10.1016/j.transproceed.2012.05.044.
3
Clinical experience with HeartWare left ventricular assist device in patients with end-stage heart failure.HeartWare 左心室辅助装置在终末期心力衰竭患者中的临床应用经验。
Ann Thorac Surg. 2012 Mar;93(3):810-5. doi: 10.1016/j.athoracsur.2011.11.076. Epub 2012 Jan 29.
4
Transventricular mitral valve operations.经心室二尖瓣手术。
Ann Thorac Surg. 2011 Oct;92(4):1501-3. doi: 10.1016/j.athoracsur.2010.10.065.
5
The transseptal approach to the mitral valve during multivalvular surgery.多瓣膜手术中二尖瓣的经房间隔入路。
J Card Surg. 2011 Sep;26(5):472-4. doi: 10.1111/j.1540-8191.2011.01294.x. Epub 2011 Aug 31.
6
Minimally invasive transaortic mitral valve repair during aortic valve replacement.主动脉瓣置换术中的微创经主动脉二尖瓣修复术。
Tex Heart Inst J. 2011;38(3):298-300.
7
Transaortic mitral valve repair in double valve infective endocarditis.双瓣膜感染性心内膜炎的经主动脉二尖瓣修复术
J Card Surg. 2010 Nov;25(6):651-3. doi: 10.1111/j.1540-8191.2010.01127.x. Epub 2010 Sep 28.
8
Transcatheter valve-in-valve implantation for failed bioprosthetic heart valves.经导管瓣中瓣植入术治疗失败的生物瓣。
Circulation. 2010 Apr 27;121(16):1848-57. doi: 10.1161/CIRCULATIONAHA.109.924613. Epub 2010 Apr 12.
9
Efficacy, feasibility, and pitfalls of transseptal approach in beating-heart mitral valve surgery.经房间隔途径在心脏不停跳二尖瓣手术中的疗效、可行性及陷阱
J Card Surg. 2009 Sep-Oct;24(5):495-8. doi: 10.1111/j.1540-8191.2009.00860.x.
10
Minitransseptal versus left atrial approach to the mitral valve: a comparison of outcomes.经房间隔小切口与左心房入路二尖瓣手术:结局比较
Ann Thorac Surg. 2006 Sep;82(3):834-9; discussion 839. doi: 10.1016/j.athoracsur.2006.04.014.

经左心室心尖开口行二尖瓣交界切开术并植入Heart Ware左心室辅助装置。

Mitral commissurotomy through the left ventricle apical orifice with Heart Ware left ventricular assist device implantation.

作者信息

Mohite Prashant Nanasaheb, Zych Bartlomiej, Popov Aron Frederik, Patil Nikhil, Luthra Suvitesh, Hedger Mike, Simon Andre Ruediger, Amrani Mohammed

机构信息

Department of Cardiothoracic Transplantation & Mechanical Support, Royal Brompton and Harefield NHS Trust, Harefield, Hill End Road, London UB9 6JH, UK.

出版信息

J Cardiothorac Surg. 2013 Jun 8;8:147. doi: 10.1186/1749-8090-8-147.

DOI:10.1186/1749-8090-8-147
PMID:23758964
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3698071/
Abstract

Diseased, replaced or repaired mitral valve can lead to restricted blood flow to left ventricle and inadequate flow in left ventricular assist device (LVAD). A middle age woman with 'burnt out' hypertrophic cardiomyopathy had mitral valve repair for mitral regurgitation. She needed LVAD to support severe decompensating heart failure. Repaired mitral valve posed a risk of restricted flow through the device. Mitral commissurotomy was performed on beating heart through the left ventricular apical hole created for insertion of inflow cannula of LVAD.

摘要

病变、置换或修复后的二尖瓣可导致左心室血流受限以及左心室辅助装置(LVAD)血流不足。一名患有“终末期”肥厚型心肌病的中年女性因二尖瓣反流接受了二尖瓣修复术。她需要LVAD来支持严重失代偿性心力衰竭。修复后的二尖瓣存在导致装置内血流受限的风险。通过为LVAD流入插管插入而在跳动的心脏上经左心室心尖孔进行了二尖瓣交界切开术。