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.
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.
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。
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