经皮穿刺途径行经导管二尖瓣置换术中瓣中瓣技术：直接入路至瓣膜。
Transjugular approach in valve-in-valve transcatheter mitral valve replacement: direct route to the valve.
机构信息
Division of Cardiac Surgery, Department of Surgery, Brigham and Women's Hospital-Harvard Medical School, Boston, Massachusetts.
Division of Cardiovascular Medicine, Brigham and Women's Hospital-Harvard Medical School, Boston, Massachusetts.
出版信息
Ann Thorac Surg. 2014 Jun;97(6):e161-3. doi: 10.1016/j.athoracsur.2014.01.068.
With the recent emergence of transcatheter valve replacement, high-risk cases of structural valve deterioration after mitral bioprosthesis can be treated with valve-in-valve transcatheter mitral valve replacement (TMVR). The transapical approach has become the principal access for TMVR, but we report an alternative direct access for TMVR--transjugular transseptal route--in an 81-year-old woman with a degenerated mitral bioprosthesis.
随着经导管瓣膜置换术的出现，二尖瓣生物瓣衰败的高危结构性心脏病病例可以采用经导管二尖瓣瓣中瓣置换术（TMVR）治疗。经心尖入路已成为 TMVR 的主要入路，但我们报告了另一种 TMVR 的替代直接入路——经颈静脉房间隔途径，用于一位 81 岁退行性二尖瓣生物瓣患者。
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