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二尖瓣手术修复后严重主动脉瓣反流的经皮治疗

Percutaneous Treatment of Severe Aortic Regurgitation After Surgical Mitral Valve Repair.

作者信息

Toscano Evelina, Ahmed Mahmoud Saad, Patel Kush P, Treibel Thomas, Kennon Simon, Baumbach Andreas

机构信息

Interventional Cardiology Unit, Policlinico di Monza, Monza, Italy.

Barts Heart Centre, London, United Kingdom.

出版信息

JACC Case Rep. 2023 Nov 22;28:102131. doi: 10.1016/j.jaccas.2023.102131. eCollection 2023 Dec 20.

DOI:10.1016/j.jaccas.2023.102131
PMID:38204547
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10774882/
Abstract

A 54-year-old woman who had recently undergone surgical mitral and tricuspid valve repair was diagnosed with severe aortic regurgitation. She was scheduled for percutaneous treatment and underwent successful transcatheter aortic valve implantation with a 27-mm Trilogy valve (JenaValve Technology). The case documents feasibility of percutaneous treatment in the presence of a mitral ring.

摘要

一名54岁女性近期接受了二尖瓣和三尖瓣修复手术,被诊断为重度主动脉瓣反流。她被安排接受经皮治疗,并成功植入了一枚27毫米的Trilogy瓣膜(耶拿瓣膜技术公司)进行经导管主动脉瓣植入术。该病例证明了在存在二尖瓣环的情况下进行经皮治疗的可行性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fd9/10774882/82b276010161/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fd9/10774882/3bbe9fc67541/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fd9/10774882/80f5c81d7386/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fd9/10774882/e1388225c41f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fd9/10774882/82b276010161/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fd9/10774882/3bbe9fc67541/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fd9/10774882/80f5c81d7386/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fd9/10774882/e1388225c41f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fd9/10774882/82b276010161/gr3.jpg

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本文引用的文献

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The JenaValve pericardial transcatheter aortic valve replacement system to treat aortic valve disease.用于治疗主动脉瓣疾病的耶拿瓣膜心包经导管主动脉瓣置换系统。
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Counterpoint: challenges and limitations of transcatheter aortic valve implantation for aortic regurgitation.**反驳观点**:经导管主动脉瓣植入术治疗主动脉瓣反流的挑战和局限性。
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Prosthetic Mitral Surgical Valve in Transcatheter Aortic Valve Replacement Recipients: A Multicenter Analysis.经导管主动脉瓣置换术后患者的人工二尖瓣外科瓣膜:多中心分析。
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Eur Heart J. 2015 Nov 21;36(44):3075-3128. doi: 10.1093/eurheartj/ehv319. Epub 2015 Aug 29.
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Self-expandable transcatheter aortic valve implantation for aortic stenosis after mitral valve surgery.二尖瓣置换术后主动脉瓣狭窄的经导管自膨式主动脉瓣植入术
Interact Cardiovasc Thorac Surg. 2013 Jul;17(1):90-5. doi: 10.1093/icvts/ivt086. Epub 2013 Mar 28.
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Predicting in-hospital mortality after redo cardiac operations: development of a preoperative scorecard.预测再次心脏手术后的院内死亡率:术前评分卡的制定。
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