治疗复发性三尖瓣反流和医源性房间隔缺损。
Treating Recurrent Tricuspid Regurgitation and Iatrogenic Atrial Septal Defect.
作者信息
Kerbel Tillmann, Mach Markus, Bartunek Anna, Bartko Philipp, Andreas Martin
机构信息
Department of Cardiac Surgery, Medical University of Vienna, Vienna, Austria.
Division of Cardiothoracic and Vascular Anesthesia, Medical University of Vienna, Vienna, Austria.
出版信息
JACC Case Rep. 2023 Apr 19;12:101775. doi: 10.1016/j.jaccas.2023.101775.
Heterotopic caval valve implantation may be a reasonable option for alleviating symptoms in select high-risk patients with recurrent tricuspid regurgitation after failed interventional tricuspid valve repair. However, altered right atrial hemodynamic status should be considered in procedural planning to avoid potential right-left shunting in cases of septal defects. ().
对于经介入性三尖瓣修复失败后出现复发性三尖瓣反流的特定高危患者，异位腔静脉瓣植入可能是缓解症状的合理选择。然而，在手术规划中应考虑右心房血流动力学状态的改变，以避免在存在间隔缺损的情况下出现潜在的右向左分流。（）
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