Tonchev Ivaylo R, Turyan Anna, Beeri Ronen, Shuvy Mony
Heart Institute, Hadassah-Hebrew University Medical Centre, Jerusalem, Israel. Electronic correspondence:
Heart Institute, Hadassah-Hebrew University Medical Centre, Jerusalem, Israel.
J Heart Valve Dis. 2017 Sep;26(5):595-596.
The case is described of a successful MitraClip procedure performed on an 88-year-old patient with severe mitral regurgitation (MR), five years after she had undergone mitral valve repair using the Alfieri surgical procedure. It is suggested that the MitraClip procedure is an option in patients with severe MR persisting after the Alfieri procedure. Video 1: Transesophageal echocardiography before the MitraClip procedure. Severe mitral regurgitation with preserved left ventricular systolic function. The main regurgitant jet originates from the medial commissure. Video 2: Transesophageal echocardiography: clip placement and jet reduction. A single clip placement on the medial portion of the mitral valve, resulting in elimination of the medial jet and reduction of the overall mitral regurgitant jet from grade 4+ to grade 2+.
本文描述了一例对一名88岁重度二尖瓣反流（MR）患者成功实施MitraClip手术的病例，该患者在接受Alfieri手术进行二尖瓣修复五年后出现上述情况。提示对于Alfieri手术后仍存在重度MR的患者，MitraClip手术是一种选择。视频1：MitraClip手术前的经食管超声心动图。左心室收缩功能保留的重度二尖瓣反流。主要反流束起源于内侧瓣叶联合处。视频2：经食管超声心动图：夹子放置及反流束减少。在二尖瓣内侧部分放置单个夹子，使得内侧反流束消失，整体二尖瓣反流束从4+级降至2+级。
