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使用MitraClip治疗瓣环成形环裂开后的二尖瓣修复术

Mitral valve repair after annuloplasty ring dehiscence using MitraClip.

作者信息

Hanson Ivan D, Hanzel George S, Shannon Francis L

机构信息

Department of Cardiovascular Medicine, Beaumont Health System, Royal Oak, Michigan.

Department of Cardiovascular Surgery, Beaumont Health System, Royal Oak, Michigan.

出版信息

Catheter Cardiovasc Interv. 2016 Aug;88(2):301-6. doi: 10.1002/ccd.26169. Epub 2015 Oct 20.

Abstract

Dehiscence of a surgical mitral annuloplasty ring for repair of functional mitral regurgitation (MR) is an infrequently reported complication that often manifests as recurrent MR and heart failure. Re-do mitral valve surgery to correct ring dehiscence may not be feasible for patients at high risk of operative mortality or serious morbidity. We report two cases of mitral annular ring dehiscence and severe mitral regurgitation in patients at prohibitive risk for re-do mitral valve surgery who were successfully treated with MitraClip. © 2015 Wiley Periodicals, Inc.

摘要

用于功能性二尖瓣反流(MR)修复的外科二尖瓣瓣环成形术环裂开是一种报道较少的并发症,常表现为复发性MR和心力衰竭。对于手术死亡率或严重并发症风险较高的患者,再次进行二尖瓣手术以纠正瓣环裂开可能不可行。我们报告了两例二尖瓣瓣环裂开和严重二尖瓣反流的病例,这两名患者再次进行二尖瓣手术的风险极高,但使用MitraClip成功进行了治疗。© 2015威利期刊公司。

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