Division of Cardiology, Emory University School of Medicine, Atlanta, Georgia 30322.
Tex Heart Inst J. 2020 Apr 1;47(2):160-162. doi: 10.14503/THIJ-18-6626.
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.
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。