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体外膜肺氧合支持下经导管二尖瓣瓣中瓣置换术及瓣周漏封堵术治疗严重人工二尖瓣狭窄

Extracorporeal Membrane Oxygenation-Supported Transcatheter Mitral Valve-in-Valve Replacement and Paravalvular Plugging for Critical Prosthetic Mitral Stenosis.

作者信息

Meredith Thomas, Gorrie Natasha, Roy David, Muller David W M

机构信息

St Vincent's Hospital, Sydney, Australia.

University of New South Wales, Sydney, Australia.

出版信息

JACC Case Rep. 2022 Apr 20;4(8):491-496. doi: 10.1016/j.jaccas.2022.02.017.

Abstract

We present the case of a patient with rapidly progressive bioprosthetic mitral valve stenosis in the setting of end-stage renal failure. Critical valve stenosis led to cardiogenic shock requiring full hemodynamic support. Emergent extracorporeal membrane oxygenation-supported transcatheter mitral valve-in-valve implantation was successfully undertaken as a life-saving measure with an excellent final result. ().

摘要

我们报告了一例终末期肾衰竭患者快速进展的生物瓣二尖瓣狭窄病例。严重的瓣膜狭窄导致心源性休克,需要全面的血流动力学支持。作为一项挽救生命的措施,紧急进行了体外膜肺氧合支持下的经导管二尖瓣瓣中瓣植入术,最终结果良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9add/9044295/3e55172665ae/fx1.jpg

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