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.
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.
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。
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