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经皮缘对缘二尖瓣修复术治疗心肌梗死后二尖瓣反流。

MitraClip as a therapeutic strategy for post-myocardial infarction mitral regurgitation.

机构信息

Department of Cardiology, Wenzhou Central Hospital, The Second Affiliated Hospital of Shanghai University, No. 252 Baili East Road, Wenzhou, 325000, Zhejiang Province, People's Republic of China.

出版信息

J Cardiothorac Surg. 2023 Feb 2;18(1):55. doi: 10.1186/s13019-023-02165-w.

Abstract

Mitral regurgitation is a serious complication of post-myocardial infarction, with increasing mortality. Surgery as the primary treatment carries a high risk. MitraClip is a new therapeutic to treat post-myocardial infarction mitral regurgitation. In this case, a 62-year-old male patient suffered from severe heart failure symptoms after emergency coronary intervention and extracorporeal membrane oxygenation support. Based on cardiac echocardiography, severe mitral regurgitation was monitored in this patient. After MitraClip treatment, the patient's condition was gradually improved and discharged successfully. This case highlights that MitraClip is a safe and effective strategy for post-myocardial infarction mitral regurgitation.

摘要

二尖瓣反流是心肌梗死后的严重并发症,死亡率增加。手术作为主要治疗方法风险很高。MitraClip 是一种治疗心肌梗死后二尖瓣反流的新疗法。本例中,一名 62 岁男性患者在紧急冠状动脉介入治疗和体外膜肺氧合支持后出现严重心力衰竭症状。根据心脏超声心动图,该患者监测到严重的二尖瓣反流。行 MitraClip 治疗后,患者病情逐渐改善并成功出院。该病例提示,MitraClip 是治疗心肌梗死后二尖瓣反流的一种安全有效的策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2929/9896774/71093f65decd/13019_2023_2165_Fig1_HTML.jpg

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