Gupta Tanush, von Ballmoos Moritz Wyler C, Reardon Michael J, Kleiman Neal S, Goel Sachin S
Houston Methodist DeBakey Heart and Vascular Center, 6550 Fannin Street, Suite 1853, Houston, TX 77030 USA.
J Invasive Cardiol. 2023 Jan;35(1):E55-E56. doi: 10.25270/jic/22.00124.
Valve embolization is a catastrophic complication of mitral valve-in-valve and valve-in-ring procedures and occurs due to inadequate ventricular positioning, undersizing, or insufficient anchoring. Emergent cardiac surgery to retrieve the embolized valve is usually required for overt embolization. In the situation described herein, a decision was made to attempt to deploy a second valve at a proper depth to anchor the embolized valve and prevent further migration. This case highlights the technique of deploying a second valve to anchor the embolized valve if valve migration has occurred with minimal movement.
瓣膜栓塞是二尖瓣中置瓣膜术和瓣中瓣手术的一种灾难性并发症，其发生原因是心室定位不当、尺寸过小或锚定不足。对于明显的栓塞，通常需要紧急心脏手术取出栓塞的瓣膜。在本文所述的情况下，决定尝试在适当深度植入第二个瓣膜，以固定栓塞的瓣膜并防止其进一步移位。该病例突出了在瓣膜发生最小移位的情况下，植入第二个瓣膜固定栓塞瓣膜的技术。
