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经MitraClip治疗的急性A型主动脉夹层手术后的SAM与严重二尖瓣反流

SAM and Severe Mitral Regurgitation Post-Acute Type A Aortic Dissection Surgery Treated With MitraClip.

作者信息

Tagliari Ana Paula, Gavazzoni Mara, Miura Mizuki, Taramasso Maurizio, Maisano Francesco

机构信息

Department of Cardiac Surgery, University Heart Center Zurich, University Hospital of Zurich, Zurich, Switzerland.

Postgraduate Program in Health Sciences: Cardiology and Cardiovascular Sciences, Faculty of Medicine, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.

出版信息

JACC Case Rep. 2020 Aug 19;2(10):1582-1586. doi: 10.1016/j.jaccas.2020.07.007. eCollection 2020 Aug.

DOI:10.1016/j.jaccas.2020.07.007
PMID:34317023
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8302160/
Abstract

Post-operative systolic anterior motion associated with mitral regurgitation can be a challenging combination. We present the case of a 64-year-old male patient managed by MitraClip (Abbott Laboratories, Abbott Park, Illinois) implantation for systolic anterior motion and severe mitral regurgitation in the early post-operative period after aortic dissection surgery. This is the first description of MitraClip use post-aortic dissection. ().

摘要

术后收缩期前向运动合并二尖瓣反流是一种具有挑战性的组合情况。我们报告了一例64岁男性患者，在主动脉夹层手术后早期，因收缩期前向运动和严重二尖瓣反流接受了MitraClip（雅培公司，伊利诺伊州雅培公园）植入治疗。这是首次关于主动脉夹层后使用MitraClip的描述。（）

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2943/8302160/a8c60ba7fc36/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2943/8302160/32a0213392bf/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2943/8302160/51b1ef3c863f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2943/8302160/1b54ed1b78af/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2943/8302160/a8c60ba7fc36/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2943/8302160/32a0213392bf/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2943/8302160/51b1ef3c863f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2943/8302160/1b54ed1b78af/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2943/8302160/a8c60ba7fc36/gr3.jpg

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本文引用的文献

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Accuracy of Jet Direction on Doppler Echocardiography in Identifying the Etiology of Mitral Regurgitation in Obstructive Hypertrophic Cardiomyopathy.超声心动图测量射流方向对梗阻性肥厚型心肌病二尖瓣反流病因的诊断价值。
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Awareness of 'Systolic Anterior Motion' in Different Conditions.不同情况下对“收缩期前向运动”的认识
Clin Med Insights Cardiol. 2018 Jan 10;12:1179546817751921. doi: 10.1177/1179546817751921. eCollection 2018.
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The Use of MitraClip for Symptomatic Patients with Hypertrophic Obstructive Cardiomyopathy.
Systolic anterior motion of the mitral valve associated with acute type A aortic dissection: a case report describing one-step surgery of ascending aortic replacement and interventricular septal myectomy.
二尖瓣收缩期前向运动与急性A型主动脉夹层相关：一例描述升主动脉置换和室间隔心肌切除术一步手术的病例报告。
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MitraClip在有症状的肥厚型梗阻性心肌病患者中的应用。
Cardiology. 2017;137(1):58-61. doi: 10.1159/000454800. Epub 2017 Jan 18.
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MitraClip Implantation for the Treatment of New-Onset Systolic Anterior Motion of the Mitral Valve After Transcatheter Aortic Valve Replacement.经导管主动脉瓣置换术后二尖瓣新发性收缩期前向运动的MitralClip植入治疗
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First-in-man MitraClip implantation to treat late postoperative systolic anterior motion: rare cause of tardive mitral repair failure.首例人体 MitraClip 植入术治疗术后晚期收缩期前向运动：迟发性二尖瓣修复失败的罕见原因
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