微创二尖瓣修复术后回旋支闭塞的联合手术与经皮治疗。
Combined Surgical and Percutaneous Management of Circumflex Artery Occlusion After Minimally Invasive Mitral Valve Repair.
机构信息
Department of Cardiothoracic and Vascular Surgery, Charité German Heart Center, Berlin, Germany; Charité-Berlin University Medicine, corporate member of Free University of Berlin and Humboldt University of Berlin, Berlin, Germany; German Center for Cardiovascular Research, partner site Berlin, Berlin, Germany.
Department of Cardiothoracic and Vascular Surgery, Charité German Heart Center, Berlin, Germany; Charité-Berlin University Medicine, corporate member of Free University of Berlin and Humboldt University of Berlin, Berlin, Germany.
出版信息
J Am Coll Cardiol. 2024 Aug 20;84(8):766-770. doi: 10.1016/j.jacc.2024.05.022.
This report describes a hybrid intervention addressing left circumflex artery occlusion during minimally invasive mitral valve repair. By using a radiopaque Cor-Knot device (LSI Solutions), targeted removal of occluding sutures was achieved, circumventing sternotomy and coronary artery bypass. Real-time coronary angiography provided assessment of procedural success during surgical revision in a hybrid operating room.
本报告描述了一种针对微创二尖瓣修复期间左回旋支动脉闭塞的混合干预措施。通过使用不透射线的 Cor-Knot 装置（LSI Solutions），实现了靶向移除闭塞缝线，避免了开胸和冠状动脉旁路移植术。在杂交手术室中进行手术修正时，实时冠状动脉造影术可评估手术过程的成功。
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