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经房间隔经导管二尖瓣瓣中瓣治疗生物瓣功能障碍合并心源性休克的严重二尖瓣反流：病例报告及文献复习

Transseptal transcatheter mitral valve-in-valve for treatment of severe mitral regurgitation in failed bioprosthesis complicated with cardiogenic shock: Case report and review of the literature.

作者信息

Rufian-Andujar Sebastian, Iftikhar Omer, Salinger Michael, Saucedo Jorge, Feldman Ted, Guerrero Mayra

机构信息

Division of Cardiology, Hospital Universitario de Valme, Seville, Spain.

Division of Cardiology, Evanston Hospital, NorthShore University HealthSystem, Evanston, IL, United States.

出版信息

Cardiovasc Revasc Med. 2018 Oct-Nov;19(7 Pt B):874-878. doi: 10.1016/j.carrev.2018.02.011. Epub 2018 Feb 23.

DOI:10.1016/j.carrev.2018.02.011
PMID:29636301
Abstract

Patients in cardiogenic shock due to severe failure of a mitral bioprosthesis have extremely high risk for repeat standard cardiac surgery. This patient population may benefit the most form the least invasive intervention. We report a successful transseptal mitral valve-in-valve implant performed in a patient in cardiogenic shock due to a flail mitral bioprosthesis requiring bridging intravenous inotropic and intra-aortic balloon pump support.

摘要

因二尖瓣生物瓣严重功能衰竭导致心源性休克的患者，再次进行标准心脏手术的风险极高。这类患者可能从创伤最小的干预措施中获益最大。我们报告了一例成功的经房间隔二尖瓣瓣中瓣植入手术，该患者因二尖瓣生物瓣连枷样病变导致心源性休克，术中需要静脉注射血管活性药物及主动脉内球囊反搏支持。

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