Division of Cardiovascular Medicine, Hospital of University of Pennsylvania, Philadelphia, PA 19104, USA.
EuroIntervention. 2013 Jul;9(3):407-9. doi: 10.4244/EIJV9I3A64.
A 64-year-old female with rheumatic heart disease and multiple prior valve replacements presented with progressive oedema, ascites and dyspnoea on exertion.
Physical examination, transthoracic echocardiography, intracardiac echocardiography, transoesophageal echocardiography, right heart cathetherisation, computed tomography.
She had a mitral homograft and Physio ring in the tricuspid position, and presented with severe bioprosthetic tricuspid valve stenosis (mean gradient 16 mmHg) and right-sided heart failure.
A transcatheter 26 mm Edwards SAPIEN valve was placed in the tricuspid position, resulting in near normalisation of tricuspid valve gradient. This represents the first report of a combined valve-in-ring (VIR) and valve in a homograft valve (VIV) SAPIEN implantation.
一位 64 岁女性，患有风湿性心脏病和多次瓣膜置换术，出现进行性水肿、腹水和劳力性呼吸困难。
体格检查、经胸超声心动图、心内超声心动图、经食管超声心动图、右心导管检查、计算机断层扫描。
她有二尖瓣同种异体移植物和 Physio 环在三尖瓣位置，表现为严重的生物瓣三尖瓣狭窄（平均梯度 16mmHg）和右侧心力衰竭。
在三尖瓣位置植入经导管 26 毫米爱德华 Sapien 瓣膜，导致三尖瓣梯度接近正常化。这是首例报道的联合瓣膜环内（VIR）和同种异体瓣膜内（VIV）Sapien 植入的病例。
Zotero 插件