Rodríguez-Santamarta Miguel, Estévez-Loureiro Rodrigo, Benito-González Tomás, Gualis Javier, Garrote Carmen, Pérez de Prado Armando, Fernández-Vázquez Felipe
Departamento de Cardiología, Complejo Asistencial Universitario de León, León, Spain. Electronic correspondence:
Departamento de Cardiología, Complejo Asistencial Universitario de León, León, Spain.
J Heart Valve Dis. 2017 Sep;26(5):589-591.
A 79-year-old woman with a history of ischemic dilated cardiomyopathy, severely depressed left ventricular ejection fraction and significant mitral regurgitation (MR) was admitted to the authors´ institution for percutaneous mitral valve repair. Transesophageal echocardiography (TEE) revealed the presence of a posterior mitral cleft at the P2 level, causing a trileaflet mitral valve that contributed significantly to the regurgitant jet. The procedure was performed under general anesthesia and guided by real-time three-dimensional TEE. Three MitraClip® devices (Abbott Vascular, Santa Clara, CA, USA) were implanted, which reduced the MR to grade 1+.
一名79岁女性，有缺血性扩张型心肌病病史，左心室射血分数严重降低，伴有明显二尖瓣反流（MR），因行经皮二尖瓣修复术入住作者所在机构。经食管超声心动图（TEE）显示在P2水平存在二尖瓣后叶裂，导致二尖瓣呈三叶瓣，这是反流束的重要成因。手术在全身麻醉下进行，并由实时三维TEE引导。植入了3个MitraClip®装置（美国加利福尼亚州圣克拉拉市雅培血管公司），将二尖瓣反流降至1+级。
