Baldizon Isabel, Espinoza Andres, Kuntze Thomas, Girdauskas Evaldas
Department of Cardiac Surgery, Heart Center, Central Hospital Bad Berka, Bad Berka, Germany
Department of Cardiac Surgery, Heart Center, Central Hospital Bad Berka, Bad Berka, Germany.
Interact Cardiovasc Thorac Surg. 2016 Apr;22(4):501-3. doi: 10.1093/icvts/ivv377. Epub 2016 Jan 10.
Some patients who underwent previous mitral valve surgery experience bioprosthetic valve degeneration or recurrent mitral valve regurgitation, and the transcatheter valve-in-valve or valve-in-ring procedure is a promising therapeutic option. Early thrombotic complications have been recently reported in 0.6-0.8% of TAVI prostheses implanted in aortic position. To the best of our knowledge, this article reports on the first case of thrombotic transcatheter mitral valve dysfunction which occurred on oral anticoagulation with Coumadin in combination with antiplatelet therapy. Although it is quite a rare complication, early thrombotic dysfunction of transcatheter valve prosthesis may occur.
一些曾接受二尖瓣手术的患者会出现生物瓣膜退变或二尖瓣反流复发，经导管瓣中瓣或瓣中环手术是一种很有前景的治疗选择。最近有报道称，在主动脉位置植入的经导管主动脉瓣置换术（TAVI）假体中，有0.6 - 0.8%出现早期血栓形成并发症。据我们所知，本文报道了首例在使用香豆素进行口服抗凝并联合抗血小板治疗时发生的经导管二尖瓣血栓形成功能障碍病例。尽管这是一种相当罕见的并发症，但经导管瓣膜假体的早期血栓形成功能障碍仍可能发生。
