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经心尖同期主动脉/二尖瓣经导管瓣膜置换术治疗重度主动脉瓣狭窄合并二尖瓣环钙化

Concomitant Transapical Aortic/Mitral Transcatheter Valve Replacement for Severe Aortic Stenosis and Mitral Annular Calcification.

作者信息

Zientara Alicja, Duncan Alison, Heng Ee Ling, Quarto Cesare

机构信息

Department of Cardiac Surgery, Guy's and St Thomas' NHS Foundation Trust, Royal Brompton Hospital, London, United Kingdom.

Institute of Cardiology, Guy's and St Thomas' NHS Foundation Trust, Royal Brompton Hospital, London, United Kingdom.

出版信息

JACC Case Rep. 2023 Sep 14;24:102025. doi: 10.1016/j.jaccas.2023.102025. eCollection 2023 Oct 18.

DOI:10.1016/j.jaccas.2023.102025
PMID:37869211
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10589442/
Abstract

Mitral regurgitation (MR) associated with mitral annular calcification (MAC) is surgically challenging, and valve-in-MAC procedures using transcatheter aortic valve replacement (TAVR) devices have poor outcomes. Transcatheter mitral valve replacement (TMVR) may be an option. Concomitant TAVR and TMVR are limited to 2 reports. We describe the first case of concomitant TAVR and TMVR-in-MAC procedures. ().

摘要

与二尖瓣环钙化（MAC）相关的二尖瓣反流（MR）在手术治疗上具有挑战性，而使用经导管主动脉瓣置换术（TAVR）装置进行的MAC内瓣膜手术效果不佳。经导管二尖瓣置换术（TMVR）可能是一种选择。同期进行TAVR和TMVR的病例仅有2篇报道。我们描述了首例同期进行TAVR和MAC内TMVR手术的病例。（）

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f96/10589442/92de0e8c5112/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f96/10589442/92de0e8c5112/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f96/10589442/92de0e8c5112/ga1.jpg

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EuroIntervention. 2022 Apr 22;17(18):1523-1531. doi: 10.4244/EIJ-D-21-00745.
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The Prognosis of Baseline Mitral Regurgitation in Patients with Transcatheter Aortic Valve Implantation.经导管主动脉瓣植入术患者基线二尖瓣反流的预后
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First-in-Man Simultaneous Aortic and Mitral Valve Transcatheter Implantation Using Patient-Customized Prostheses.
使用患者定制假体进行首例人体主动脉和二尖瓣同时经导管植入术。
JACC Case Rep. 2021 Apr 21;3(4):653-657. doi: 10.1016/j.jaccas.2021.01.032. eCollection 2021 Apr.
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JACC Cardiovasc Interv. 2021 Jun 14;14(11):1181-1192. doi: 10.1016/j.jcin.2021.02.030. Epub 2021 May 12.
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J Am Heart Assoc. 2021 Apr 6;10(7):e018514. doi: 10.1161/JAHA.120.018514. Epub 2021 Mar 17.
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