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经皮二尖瓣修复术后瓣叶附着丧失需植入左心室辅助装置：三维多平面重建的应用价值

Loss of Leaflet Insertion After Percutaneous Mitral Valve Repair Requiring Left Ventricular Assist Device Implantation: Usefulness of 3D Multiplanar Reconstruction.

作者信息

Melillo Francesco, Ancona Francesco, Calvo Francesco, Fisicaro Andrea, Stella Stefano, Capogrosso Cristina, Spoladore Roberto, Denti Paolo, Melisurgo Giulio, Lapenna Elisabetta, Pappalardo Federico, Castiglioni Alessandro, Margonato Alberto, Agricola Eustachio

机构信息

San Raffaele University Hospital, Via Olgettina 60, 20132 Milan, Italy.

出版信息

J Invasive Cardiol. 2019 Sep;31(9):E274-E276.

PMID:31478896
Abstract

Three-dimensional multiplanar reconstruction was used to diagnose recurrence of mitral regurgitation after MitraClip implantation in a 71-year-old man. Subsequent mitral valve surgery in such a case is high risk, and repeat MitraClip intervention could be feasible but is technically challenging. This imaging series demonstrates that LVAD implantation may be a solution to address MitraClip failure.

摘要

采用三维多平面重建技术对一名71岁男性患者在MitraClip植入术后二尖瓣反流复发情况进行诊断。在此类病例中，后续进行二尖瓣手术风险很高，重复进行MitraClip干预可能可行，但技术上具有挑战性。本影像系列显示，植入左心室辅助装置（LVAD）可能是解决MitraClip失败问题的一种办法。

相似文献

1
Loss of Leaflet Insertion After Percutaneous Mitral Valve Repair Requiring Left Ventricular Assist Device Implantation: Usefulness of 3D Multiplanar Reconstruction.经皮二尖瓣修复术后瓣叶附着丧失需植入左心室辅助装置：三维多平面重建的应用价值
J Invasive Cardiol. 2019 Sep;31(9):E274-E276.
2
Adjunctive intracardiac echocardiography imaging from the left ventricle to guide percutaneous mitral valve repair with the MitraClip in patients with failed prior surgical rings.应用心腔内超声心动图从左心室进行辅助成像，以指导曾使用外科瓣环但手术失败的患者经皮使用MitraClip进行二尖瓣修复。
Catheter Cardiovasc Interv. 2016 Feb 1;87(2):E75-82. doi: 10.1002/ccd.25981. Epub 2015 Jun 23.
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MitraClip implantation in a previous surgical mitral valve edge-to-edge repair.在既往外科二尖瓣缘对缘修复术后植入MitraClip（二尖瓣夹）。
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引用本文的文献

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Advances in Procedural Echocardiographic Imaging in Transcatheter Edge-to-Edge Repair for Mitral Regurgitation.经导管二尖瓣反流缘对缘修复术中程序性超声心动图成像的进展
Front Cardiovasc Med. 2022 Mar 28;9:864341. doi: 10.3389/fcvm.2022.864341. eCollection 2022.