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房间隔剥离、重度主动脉瓣狭窄及二尖瓣瓣周反流：一种罕见组合及其血流动力学相互关系。

Interatrial septum dissection, severe aortic stenosis, and paravalvular mitral regurgitation: A rare combination and their hemodynamic interrelationship.

作者信息

M Di Silvestre, R Muñoz-Rodríguez, A Tindaya-Herraiz, F Bosa-Ojeda, A Barragan-Acea, A Bonilla, J Lacalzada-Almeida

机构信息

Cardiology Unit University Hospital of the Canary Islands San Cristóbal de La Laguna Tenerife Spain.

Radiology Unit University Hospital of the Canary Islands San Cristóbal de La Laguna Tenerife Spain.

出版信息

Clin Case Rep. 2023 Jan 16;11(1):e6866. doi: 10.1002/ccr3.6866. eCollection 2023 Jan.

DOI:10.1002/ccr3.6866
PMID:36694635
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9842880/
Abstract

Left atrial wall dissection is a rare entity with controversial management approaches. We report the case of an 85-year-old woman with a mitral bioprosthetic admitted for heart failure. Diagnosis of atrial septum dissection, severe aortic stenosis, and paravalvular mitral regurgitation was established. A percutaneous approach provided clinical improvements.

摘要

左心房壁夹层是一种罕见的疾病，其治疗方法存在争议。我们报告了一例85岁患有二尖瓣生物瓣的女性患者，因心力衰竭入院。诊断为房间隔夹层、严重主动脉瓣狭窄和人工瓣膜旁二尖瓣反流。经皮治疗方法使患者临床症状得到改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3305/9842880/0dcf3e620ff0/CCR3-11-e6866-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3305/9842880/81da5efd7971/CCR3-11-e6866-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3305/9842880/7bba16562dbc/CCR3-11-e6866-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3305/9842880/0dcf3e620ff0/CCR3-11-e6866-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3305/9842880/81da5efd7971/CCR3-11-e6866-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3305/9842880/7bba16562dbc/CCR3-11-e6866-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3305/9842880/0dcf3e620ff0/CCR3-11-e6866-g003.jpg

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本文引用的文献

1
Mitral Paravalvular Leak: Clinical Implications, Diagnosis and Management.二尖瓣瓣周漏：临床意义、诊断与处理
J Clin Med. 2022 Feb 25;11(5):1245. doi: 10.3390/jcm11051245.
2
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J Clin Ultrasound. 2021 Sep;49(7):686-689. doi: 10.1002/jcu.22977. Epub 2021 Jan 20.
3
Comparative Trends in Percutaneous Coronary Intervention in Japan and the United States, 2013 to 2017.2013 至 2017 年日本与美国经皮冠状动脉介入治疗的对比趋势。
J Am Coll Cardiol. 2020 Sep 15;76(11):1328-1340. doi: 10.1016/j.jacc.2020.07.037.
4
Trends in MitraClip, mitral valve repair, and mitral valve replacement from 2000 to 2016.2000 年至 2016 年期间，MitraClip、二尖瓣修复和二尖瓣置换的趋势。
J Thorac Cardiovasc Surg. 2021 Aug;162(2):551-562.e4. doi: 10.1016/j.jtcvs.2019.12.097. Epub 2020 Jan 22.
5
Left atrial dissection: A rare entity.左心房夹层：一种罕见的病症。
Echocardiography. 2019 Aug;36(8):1598-1600. doi: 10.1111/echo.14434. Epub 2019 Jul 9.
6
Case report and systematic review of iatrogenic left atrial dissection in different cardiovascular specialties: A common treatment for an uncommon complication?不同心血管专科医源性左心房夹层的病例报告与系统评价：一种针对罕见并发症的常见治疗方法？
Catheter Cardiovasc Interv. 2020 Jan;95(1):E30-E36. doi: 10.1002/ccd.28356. Epub 2019 May 29.
7
A Rare Case of Left Subacute Atrial Dissection: Multimodality Imaging Approach.左心房亚急性夹层一例罕见病例：多模态成像方法
J Cardiovasc Echogr. 2019 Jan-Mar;29(1):26-28. doi: 10.4103/jcecho.jcecho_52_18.
8
Repair of a Submitral Aneurysm with associated left atrial wall dissection.二尖瓣下动脉瘤伴左心房壁夹层的修复。
Asian Cardiovasc Thorac Ann. 2018 Jun;26(5):392-395. doi: 10.1177/0218492317713425. Epub 2017 May 24.
9
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