De Rosa Roberta, Schranz Dietmar, Zeiher Andreas M, Fichtlscherer Stephan
Division of Cardiology, Department of Medicine III, Goethe University Hospital Frankfurt, Frankfurt am Main, Germany.
Hessisches Kinderherzzentrum and Pediatric Heart Center, Justus-Liebig University, Giessen, Germany.
Ann Thorac Surg. 2017 Jul;104(1):e61-e63. doi: 10.1016/j.athoracsur.2017.01.063.
Transcatheter pulmonary valve implantation is established as a valuable option to reconstruct failing right ventricular outflow tract function. Percutaneous tricuspid valve-in-valve or valve-in-ring reconstruction is even applied with increasing acceptance. A 46-year-old woman with a diagnosis of carcinoid-dependent right heart failure underwent surgical bioprosthetic tricuspid and pulmonary valve replacement. Almost 1 year later, she presented again with markedly dilatated and reduced right heart function caused by degeneration of both biologic valves. We report a successful two-stage percutaneous transcatheter double-valve replacement with the use of a Melody valve in pulmonary and tricuspid positions.
经导管肺动脉瓣植入术已成为重建衰竭右心室流出道功能的一种有价值的选择。经皮三尖瓣瓣中瓣或瓣中环重建术的应用也越来越广泛并被认可。一名46岁诊断为类癌综合征所致右心衰竭的女性患者接受了生物瓣三尖瓣和肺动脉瓣置换术。近1年后，由于两个生物瓣膜退变，她再次出现右心明显扩张和功能减退。我们报告了一例成功的两阶段经皮经导管双瓣膜置换术，在肺动脉和三尖瓣位置使用了美敦力Melody瓣膜。
