Steinberg Zachary L, Morray Brian H, Jones Thomas K
Division of Cardiology, Department of Medicine, University of Washington School of Medicine, Seattle, Washington.
Division of Cardiology, Department of Pediatrics, University of Washington School of Medicine, Seattle, Washington.
Catheter Cardiovasc Interv. 2018 Jan 1;91(1):86-89. doi: 10.1002/ccd.27373. Epub 2017 Oct 25.
We present a case of successful bicaval Melody valve implantation to treat severe mitral regurgitation in a 44-year-old man with d-transposition of the great arteries, repaired via a Mustard operation. The patient sustained injury to the anterior mitral valve leaflet during laser extraction of a ventricular pacing lead resulting in acute, severe, symptomatic mitral regurgitation. The presence of systemic venous baffles of similar caliber to right ventricular outflow tract conduits allowed for implantation of Melody valves within each baffle. The patient remains asymptomatic with excellent Melody valve function 14 months post procedure.
我们报告了一例成功植入双腔Melody瓣膜治疗严重二尖瓣反流的病例，患者为一名44岁男性，患有大动脉d型转位，曾接受Mustard手术修复。患者在激光拔除心室起搏导线过程中，前二尖瓣叶受损，导致急性、严重、有症状的二尖瓣反流。由于体静脉挡板的口径与右心室流出道导管相似，因此可以在每个挡板内植入Melody瓣膜。术后14个月，患者无症状，Melody瓣膜功能良好。
