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二次尝试,效果更佳:MitraClip 装置经皮缘对缘修复术治疗 Alfieri 缝合术失败后的挽救性治疗。

Second Time's a Charm: Percutaneous Edge-to-Edge Repair With the MitraClip Device as Rescue Therapy After a Failed Surgical Edge-to-Edge Alfieri Stitch.

机构信息

Department of Cardiology, Québec Heart and Lung Institute, Québec City, Québec, Canada.

Department of Cardiac Surgery, Québec Heart and Lung Institute, Québec City, Québec, Canada.

出版信息

Can J Cardiol. 2018 Sep;34(9):1233.e1-1233.e3. doi: 10.1016/j.cjca.2018.05.004. Epub 2018 May 9.

Abstract

Surgical mitral valve repair for mitral regurgitation is associated with an increased risk of recurrent mitral regurgitation compared to surgical mitral valve replacement. We describe the case of an 80-year-old man with recurrent severe symptomatic mitral regurgitation after a failed surgical Alfieri technique attempt, who then underwent successful MitraClip (Abbott Vascular, Santa Clara, CA) implantation.

摘要

与外科二尖瓣置换相比,外科二尖瓣修复术治疗二尖瓣反流会增加二尖瓣反流复发的风险。我们描述了一例 80 岁男性的病例,该患者在外科 Alfieri 技术尝试失败后出现复发性严重症状性二尖瓣反流,随后成功进行了 MitraClip(雅培血管,圣克拉拉,CA)植入。

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