感染性心内膜炎二尖瓣置换术后经皮封堵2处瓣周漏及1处Gerbode缺损
Percutaneous Closure of 2 Paravalvular Leaks and a Gerbode Defect after Mitral Valve Replacement for Infective Endocarditis.
作者信息
Peñalver Jorge, Shatila Wassim, Silva Guilherme V
出版信息
Tex Heart Inst J. 2017 Apr 1;44(2):153-156. doi: 10.14503/THIJ-16-5996. eCollection 2017 Apr.
Abstract
Surgical valve replacement after infective endocarditis can result in local destructive paravalvular lesions. A 30-year-old woman with infective endocarditis underwent mitral valve replacement that was complicated postoperatively by 2 paravalvular leaks. During percutaneous closure of the leaks, a Gerbode defect was also found and closed. We discuss our patient's case and its relation to others in the relevant medical literature. To our knowledge, we are the first to describe the use of a percutaneous approach to close concomitant paravalvular leaks and a Gerbode defect.
摘要
感染性心内膜炎后进行外科瓣膜置换可导致局部破坏性瓣周病变。一名30岁感染性心内膜炎女性接受了二尖瓣置换术，术后出现2处瓣周漏。在经皮封堵漏口过程中，还发现并封堵了一个Gerbode缺损。我们讨论了该患者的病例及其与相关医学文献中其他病例的关系。据我们所知，我们是首个描述采用经皮方法封堵合并存在的瓣周漏和Gerbode缺损的。
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