Department of Cardiac Surgery, Cedars-Sinai, Los Angeles, California.
Department of Cardiac Surgery, Cedars-Sinai, Los Angeles, California.
Ann Thorac Surg. 2022 Mar;113(3):e223-e225. doi: 10.1016/j.athoracsur.2021.05.083. Epub 2021 Jun 29.
Mitral valve repair is infrequently performed in patients undergoing corrective surgery for failed mitral transcatheter edge-to-edge repair in current United States practice. This article describes surgical techniques for reconstructive surgery after failed transcatheter edge-to-edge repair. Nine patients underwent robotic-assisted mitral surgery after failed transcatheter edge-to-edge repair between 2008 and 2020 at a single center. Repair was completed in 88.9% (n = 8) patients, and freedom from >2+ mitral regurgitation was 87.5% (n = 7) at a median follow-up of 1.9 years.
目前在美国,对于二尖瓣经导管缘对缘修复失败而接受矫正手术的患者,很少进行二尖瓣修复术。本文描述了经导管缘对缘修复失败后的重建手术技术。2008 年至 2020 年期间,一家中心的 9 名患者在经导管缘对缘修复失败后接受了机器人辅助二尖瓣手术。88.9%(n=8)的患者完成了修复,中位随访 1.9 年后,无>2+二尖瓣反流的比例为 87.5%(n=7)。