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The risk and extent of neurologic events are equivalent for high-risk patients treated with transcatheter or surgical aortic valve replacement.接受经导管或外科主动脉瓣置换术治疗的高危患者发生神经事件的风险和程度相当。
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A three-dimensional echocardiographic study on aortic-mitral coupling in transcatheter aortic valve replacement.经导管主动脉瓣置换术中主动脉-二尖瓣偶联的三维超声心动图研究。
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Transcatheter Aortic Valve Replacement in Patients With Aortic Stenosis and Mitral Regurgitation.主动脉瓣狭窄合并二尖瓣反流患者的经导管主动脉瓣置换术
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Mitral Valve Stenosis after Transcatheter Aortic Valve Replacement: Case Report and Review of the Literature.经导管主动脉瓣置换术后二尖瓣狭窄：病例报告及文献综述
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引用本文的文献

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Mitral complex geometric changes aggravate mitral stenosis after transcatheter aortic valve replacement.经导管主动脉瓣置换术后二尖瓣复合体几何结构的变化加重了二尖瓣狭窄。
Int J Cardiovasc Imaging. 2024 Aug;40(8):1767-1777. doi: 10.1007/s10554-024-03167-y. Epub 2024 Jul 6.
2
Worsening Mitral Stenosis Due to Post-transcatheter Aortic Valve Replacement Improvement of Concomitant Aortic Insufficiency.经导管主动脉瓣置换术后二尖瓣狭窄加重伴主动脉瓣关闭不全改善
Cureus. 2019 Apr 10;11(4):e4424. doi: 10.7759/cureus.4424.
3
Previous TAVR in patients undergoing percutaneous edge-to-edge mitral valve repair (PMVR) affects improvement of MR.先前经皮缘对缘二尖瓣修复术（PMVR）治疗的患者行 TAVR 会影响 MR 的改善。
PLoS One. 2018 Oct 19;13(10):e0205930. doi: 10.1371/journal.pone.0205930. eCollection 2018.

本文引用的文献

1
Transcatheter Aortic Valve Implantation (core valve) prosthesis complicated by mitral stenosis.经导管主动脉瓣植入术（CoreValve瓣膜）假体并发二尖瓣狭窄。
J Saudi Heart Assoc. 2012 Apr;24(2):149-50. doi: 10.1016/j.jsha.2012.02.007. Epub 2012 Mar 7.
2
Acute mitral stenosis after transcatheter aortic valve implantation.经导管主动脉瓣植入术后急性二尖瓣狭窄
J Am Coll Cardiol. 2012 Nov 13;60(20):e35. doi: 10.1016/j.jacc.2012.05.061.

经导管主动脉瓣置换术（TAVR）后发生的医源性二尖瓣狭窄。

Iatrogenic mitral stenosis following transcatheter aortic valve replacement (TAVR).

作者信息

Harries Iwan, Chandrasekaran Badrinathan, Barnes Edward, Ramcharitar Steve

机构信息

Wiltshire Cardiac Centre, Great Western Hospital, Marlborough Road, Swindon, Wiltshire SN3 6BB, UK.

Wiltshire Cardiac Centre, Great Western Hospital, Marlborough Road, Swindon, Wiltshire SN3 6BB, UK.

出版信息

Indian Heart J. 2015 Jan-Feb;67(1):60-1. doi: 10.1016/j.ihj.2015.02.005. Epub 2015 Mar 4.

DOI:10.1016/j.ihj.2015.02.005
PMID:25820053
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4382556/
Abstract

A 57 year old female underwent transcatheter aortic valve replacement (TAVR) for severe aortic stenosis. Mild iatrogenic mitral stenosis was noted intraoperatively. Attempts to reposition the device were hampered by aortic angulation. One year later, severe mitral stenosis was confirmed on transoesophageal echocardiography. It is important to recognise that iatorgenic mitral stenosis due to TAVR may progress over time. Care should be taken to minimise the risk of this rare complication.

摘要

一名57岁女性因严重主动脉瓣狭窄接受了经导管主动脉瓣置换术（TAVR）。术中发现轻度医源性二尖瓣狭窄。主动脉成角阻碍了器械重新定位的尝试。一年后，经食管超声心动图证实为严重二尖瓣狭窄。必须认识到，TAVR引起的医源性二尖瓣狭窄可能会随时间进展。应注意将这种罕见并发症的风险降至最低。