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单枚MitraClip治疗二尖瓣反流后继发严重二尖瓣狭窄的发生情况

Development of a Severe Mitral Valve Stenosis Secondary to the Treatment of Mitral Regurgitation with a Single MitraClip.

作者信息

Osswald Anja, Al Jabbari Odeaa, Abu Saleh Walid K, Barker Colin, Ruhparwar Arjang, Karmonik Christof, Loebe Matthias

机构信息

Department of Cardiac Surgery, University of Heidelberg, Heidelberg, Germany.

Methodist DeBakey Heart and Vascular Center, Houston Methodist Hospital, Houston, Texas.

出版信息

J Card Surg. 2016 Mar;31(3):153-5. doi: 10.1111/jocs.12692. Epub 2016 Jan 24.

Abstract

We report a patient with class III heart failure symptoms due to mitral regurgitation (MR) subsequent to nonischemic cardiomyopathy. The patient underwent percutaneous transcatheter mitral valve repair using a single MitraClip, which reduced the MR; however it created mild-to-moderate mitral stenosis, which progressed to severe mitral stenosis. Subsequently the patient underwent mitral valve replacement surgery.

摘要

我们报告了一名因非缺血性心肌病继发二尖瓣反流(MR)而出现Ⅲ级心力衰竭症状的患者。该患者使用单个MitraClip进行了经皮经导管二尖瓣修复术,这减少了二尖瓣反流;然而,这导致了轻度至中度二尖瓣狭窄,并进展为重度二尖瓣狭窄。随后,该患者接受了二尖瓣置换手术。

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