Kaddoura Rasha, Al-Hijji Mohammed
Department of Pharmacy, Heart Hospital Hamad Medical Corporation, Doha, Qatar.
Department of Adult Cardiology, Heart Hospital Hamad Medical Corporation, Doha, Qatar.
Heart Views. 2023 Jan-Mar;24(1):29-40. doi: 10.4103/heartviews.heartviews_73_22. Epub 2023 Feb 23.
Acute mitral valve regurgitation (MR) is an emergency condition that requires an early diagnosis of the etiology and rapid management. Surgical intervention is the first-line treatment for acute severe MR. However, many patients are denied surgical intervention due to the acute risk of surgery. Transcatheter mitral valve repair (TMVr) is a less invasive technique and becoming a potential alternative to surgery in inoperable patients but is underrepresented in the literature. This review aims to discuss the published data on the use of TMVr in unstable MR patients presenting with acute or critical cardiac conditions.
急性二尖瓣反流(MR)是一种紧急情况,需要早期诊断病因并迅速进行处理。外科手术干预是急性重度MR的一线治疗方法。然而,由于手术的急性风险,许多患者无法接受外科手术干预。经导管二尖瓣修复术(TMVr)是一种侵入性较小的技术,正成为无法进行手术的患者的潜在手术替代方案,但在文献中的报道较少。本综述旨在讨论已发表的关于在伴有急性或严重心脏疾病的不稳定MR患者中使用TMVr的数据。