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杂交二尖瓣置换术:心脏团队治疗严重二尖瓣环钙化的方法

Hybrid Mitral Valve Replacement: A Heart-Team Approach to Severe Mitral Annular Calcification.

作者信息

Castillo Javier G, Tang Gilbert H L, Adams David H, El-Eshmawi Ahmed

机构信息

Department of Cardiovascular Surgery, The Mount Sinai Hospital, New York, New York.

出版信息

JACC Case Rep. 2019 Dec 18;1(4):495-499. doi: 10.1016/j.jaccas.2019.08.029. eCollection 2019 Dec.

Abstract

Mitral annular calcification tends to be significant in patients of advanced age or with underlying processes such as increased mechanical stress. When severe, it can significantly affect perioperative outcomes, especially if mitral decalcification is required for success. This report describes a versatile heart-team approach to a very complex condition. ().

摘要

二尖瓣环钙化在老年患者或存在诸如机械应力增加等潜在病变的患者中往往较为显著。严重时,它会显著影响围手术期结局,尤其是在成功需要进行二尖瓣脱钙的情况下。本报告描述了一种针对非常复杂病情的多学科心脏团队方法。()

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e60/8289150/ae0563477fe0/fx1.jpg

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本文引用的文献

1
Does Mitral Valve Calcium in Patients Undergoing Mitral Valve Replacement Portend Worse Survival?
Ann Thorac Surg. 2019 Feb;107(2):444-452. doi: 10.1016/j.athoracsur.2018.07.098. Epub 2018 Nov 2.
2
Open Atrial Transcatheter Mitral Valve Replacement in Patients With Mitral Annular Calcification.
J Am Coll Cardiol. 2018 Sep 25;72(13):1437-1448. doi: 10.1016/j.jacc.2018.07.033.
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1-Year Outcomes of Transcatheter Mitral Valve Replacement in Patients With Severe Mitral Annular Calcification.
J Am Coll Cardiol. 2018 May 1;71(17):1841-1853. doi: 10.1016/j.jacc.2018.02.054.
4
Mitral annular calcification predicts cardiovascular morbidity and mortality: the Framingham Heart Study.
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