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1
Use of a MitraClip for severe mitral regurgitation in a cardiac transplant patient.在一名心脏移植患者中使用MitraClip治疗严重二尖瓣反流。
Proc (Bayl Univ Med Cent). 2017 Apr;30(2):226-227. doi: 10.1080/08998280.2017.11929597.
2
A case of dilated cardiomyopathy and severe mitral regurgitation treated using a combined percutaneous approach of MitraClip followed by CARILLON® mitral contour system.一例采用MitraClip经皮治疗联合CARILLON®二尖瓣轮廓系统治疗的扩张型心肌病合并严重二尖瓣反流病例。
Cardiovasc Revasc Med. 2016 Dec;17(8):578-581. doi: 10.1016/j.carrev.2016.07.001. Epub 2016 Jul 20.
3
Clinical outcomes of conventional surgery versus MitraClip® therapy for moderate to severe symptomatic mitral valve regurgitation in the elderly population: an institutional experience.老年人群中重度症状性二尖瓣反流的传统手术与MitraClip®治疗的临床结局：一项机构经验
BMC Cardiovasc Disord. 2017 Mar 20;17(1):85. doi: 10.1186/s12872-017-0523-4.
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Implantation of a MitraClip between two previously implanted MitraClips to treat recurrent severe mitral regurgitation.在两枚先前植入的二尖瓣夹之间植入一枚二尖瓣夹，以治疗复发性严重二尖瓣反流。
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Ann Thorac Surg. 2015 May;99(5):1796-9. doi: 10.1016/j.athoracsur.2014.07.079.
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Percutaneous mitral valve interventions in the real world: early and 1-year results from the ACCESS-EU, a prospective, multicenter, nonrandomized post-approval study of the MitraClip therapy in Europe.经皮二尖瓣介入治疗的真实世界数据：来自 ACCESS-EU 的早期和 1 年结果，这是一项在欧洲进行的前瞻性、多中心、非随机的 MitraClip 治疗药物批准后研究。
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Prevalence of severe mitral regurgitation eligible for edge-to-edge mitral valve repair (MitraClip).适合缘对缘二尖瓣修复术（MitraClip）的重度二尖瓣反流的患病率。
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本文引用的文献

1
Transcatheter mitral valve repair with mitraclip for significant mitral regurgitation long after heart transplantion.心脏移植术后很久采用MitraClip经导管二尖瓣修复术治疗严重二尖瓣反流
Catheter Cardiovasc Interv. 2016 Jul;88(1):144-9. doi: 10.1002/ccd.26153. Epub 2015 Sep 2.
2
MitraClip after heart transplantation: A case report.心脏移植术后使用二尖瓣夹合器：一例报告
Int J Cardiol. 2015 Oct 1;196:143-4. doi: 10.1016/j.ijcard.2014.10.099. Epub 2014 Oct 22.
3
Mitral valve dysfunction and repair following orthotopic heart transplantation: a case report.原位心脏移植术后二尖瓣功能障碍及修复：一例报告
Transplant Proc. 2008 Jun;40(5):1796-7. doi: 10.1016/j.transproceed.2007.10.010.
4
Double valve repair in a transplanted heart.
J Thorac Cardiovasc Surg. 1998 Jan;115(1):250-1. doi: 10.1016/s0022-5223(98)70469-6.
5
Mitral valve replacement in a heart transplant recipient with iatrogenic mitral regurgitation.心脏移植受者因医源性二尖瓣反流行二尖瓣置换术。
Ann Thorac Surg. 1996 May;61(5):1530-2. doi: 10.1016/0003-4975(95)01178-1.

在一名心脏移植患者中使用MitraClip治疗严重二尖瓣反流。

Use of a MitraClip for severe mitral regurgitation in a cardiac transplant patient.

作者信息

Raza Fayez S, Grayburn Paul A, Choi James W

机构信息

Baylor Heart and Vascular Hospital, Dallas, Texas.

出版信息

Proc (Bayl Univ Med Cent). 2017 Apr;30(2):226-227. doi: 10.1080/08998280.2017.11929597.

DOI:10.1080/08998280.2017.11929597
PMID:28405092
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5349838/
Abstract

Severe mitral regurgitation (MR) in patients after cardiac transplant has not been well studied. Traditionally, patients have undergone corrective surgery. We report a 64-year-old man who presented with new heart failure symptoms 6 months after cardiac transplantation. He was found to have severe MR and underwent successful implantation of a MitraClip® with reduction of his MR to mild as well as improvement in his symptoms. Six months later he was still doing well, and a repeat echocardiogram showed good results. We found two previously reported cases using the MitraClip to treat severe MR in adult cardiac transplant patients. The MitraClip is a viable treatment option for MR in cardiac transplant patients despite their distorted anatomy.

摘要

心脏移植术后患者的严重二尖瓣反流（MR）尚未得到充分研究。传统上，患者需接受矫正手术。我们报告了一名64岁男性，他在心脏移植术后6个月出现新的心力衰竭症状。他被发现患有严重MR，并成功植入了MitraClip®，其MR减轻至轻度，症状也有所改善。6个月后他情况仍然良好，复查超声心动图显示效果良好。我们发现了两例先前报道的使用MitraClip治疗成年心脏移植患者严重MR的病例。尽管心脏移植患者的解剖结构扭曲，但MitraClip仍是治疗其MR的一种可行选择。