妊娠期急性乳头肌断裂的微创二尖瓣修复术。
Minimally Invasive Mitral Valve Repair for Acute Papillary Muscle Rupture During Pregnancy.
机构信息
Department of Cardiothoracic Surgery, University of Texas Houston Memorial Hermann Hospital, Houston, Texas.
Department of Obstetrics and Gynecology, University of Texas Houston, McGovern Medical School, Houston, Texas.
出版信息
Ann Thorac Surg. 2019 Feb;107(2):e93-e95. doi: 10.1016/j.athoracsur.2018.06.048. Epub 2018 Aug 3.
Acute papillary muscle rupture during pregnancy is a rare cardiac condition with potential for 200% mortality. We describe a 28-year-old morbidly obese woman at 27 weeks gestation who presented with acute decompensated mitral regurgitation secondary to spontaneous papillary muscle rupture. After hemodynamic stabilization and caesarean delivery, we performed an emergent mitral valve repair through a minimally invasive right thoracotomy.
在怀孕期间发生急性乳头肌断裂是一种罕见的心脏疾病，死亡率高达 200%。我们描述了一位 28 岁的病态肥胖女性，在怀孕 27 周时因自发性乳头肌断裂导致急性失代偿性二尖瓣反流。在血流动力学稳定和剖宫产分娩后，我们通过微创右侧开胸手术进行了紧急二尖瓣修复。
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