Department of Cardiology, Sharp Memorial Hospital, San Diego, California.
Department of Cardiothoracic Surgery, Sharp Memorial Hospital, San Diego, California.
Ann Thorac Surg. 2018 Feb;105(2):e45-e46. doi: 10.1016/j.athoracsur.2017.09.042.
Mitral regurgitation commonly improves after implantation of a left ventricular assist device without concomitant valvular repair owing to the mechanical unloading of the left ventricle. However, the development (or persistence) of significant mitral regurgitation after implantation of a left ventricular assist device is associated with adverse clinical events. We present a case of a left ventricular assist device patient who successfully underwent a percutaneous MitraClip procedure for repair of persistent late postoperative mitral insufficiency with demonstrable clinical and hemodynamic improvement.
二尖瓣反流通常在左心室辅助装置植入后改善，而无需同时进行瓣膜修复，这是由于左心室的机械卸载。然而，左心室辅助装置植入后出现明显的二尖瓣反流与不良的临床事件相关。我们介绍了一例左心室辅助装置患者，该患者成功地接受了经皮 MitraClip 手术，修复了持续性晚期术后二尖瓣关闭不全，临床和血液动力学均得到了改善。
