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Outcomes After Paravalvular Leak Closure: Transcatheter Versus Surgical Approaches.经皮球囊瓣周漏封堵术后结局：经导管介入与外科手术方法比较。
JACC Cardiovasc Interv. 2017 Mar 13;10(5):500-507. doi: 10.1016/j.jcin.2016.11.043.
2
Paravalvular regurgitation after conventional aortic and mitral valve replacement: A benchmark for alternative approaches.传统主动脉瓣和二尖瓣置换术后瓣周漏：替代方法的基准。
J Thorac Cardiovasc Surg. 2015 Oct;150(4):860-8.e1. doi: 10.1016/j.jtcvs.2015.06.047. Epub 2015 Jun 27.
3
2014 AHA/ACC guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines.2014年美国心脏协会/美国心脏病学会瓣膜性心脏病患者管理指南：美国心脏病学会/美国心脏协会实践指南工作组报告
J Am Coll Cardiol. 2014 Jun 10;63(22):e57-185. doi: 10.1016/j.jacc.2014.02.536. Epub 2014 Mar 3.
4
Recurrent Prosthetic Mitral Valve Dehiscence due to Infective Endocarditis: Discussion of Possible Causes.感染性心内膜炎所致复发性人工二尖瓣瓣周漏：可能病因探讨
Korean J Thorac Cardiovasc Surg. 2013 Aug;46(4):285-8. doi: 10.5090/kjtcs.2013.46.4.285. Epub 2013 Aug 6.
5
Impact of residual regurgitation after aortic valve replacement.主动脉瓣置换术后残余反流的影响。
Eur J Cardiothorac Surg. 2012 Sep;42(3):486-92. doi: 10.1093/ejcts/ezs083. Epub 2012 Mar 16.
6
Long-term follow-up of percutaneous repair of paravalvular prosthetic regurgitation.经皮球囊瓣膜成形术后瓣周漏的长期随访。
J Am Coll Cardiol. 2011 Nov 15;58(21):2218-24. doi: 10.1016/j.jacc.2011.07.041.

经皮二尖瓣瓣周漏封堵术治疗高危老年退行性二尖瓣关闭不全合并瓣周漏患者一例

Percutaneous Closure of Paravalvular Leak from a Rocking Mitral Valve in a 74-Year-Old Man at High Surgical Risk.

机构信息

Division of Cardiology, Emory University School of Medicine, Atlanta, Georgia 30322.

出版信息

Tex Heart Inst J. 2020 Apr 1;47(2):160-162. doi: 10.14503/THIJ-18-6626.

DOI:10.14503/THIJ-18-6626
PMID:32603469
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7328077/
Abstract

Dehiscence of a prosthetic heart valve or excessive rocking during the cardiac cycle is thought to preclude percutaneous paravalvular leak closure. However, surgical repair of paravalvular leak is associated with recurrent dehiscence and poor outcomes. We present the case of a symptomatic 74-year-old man in whom we performed percutaneous anchoring, involving multiple plugs and multimodal imaging, to stabilize a rocking mitral valve and close a substantial paravalvular leak caused by dehiscence. To our knowledge, using this technique to correct both conditions is novel.

摘要

人工心脏瓣膜裂开或在心脏周期期间过度摆动被认为可排除经皮瓣周漏闭合。然而，瓣周漏的手术修复与再裂开和不良结局相关。我们报告了一例有症状的 74 岁男性患者，我们对其进行了经皮锚定，涉及多个塞子和多模式成像，以稳定摆动的二尖瓣并闭合由裂开引起的大量瓣周漏。据我们所知，使用该技术来纠正这两种情况是新颖的。