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因生物人工瓣膜血栓形成而紧急进行Tendyne人工瓣膜的外科置换术。

Emergent Surgical Replacement of a Tendyne Prosthesis for Bioprosthetic Valve Thrombosis.

作者信息

Dohle Daniel-Sebastian, Pfeiffer Philipp, Ruf Tobias, Gößler Theresa, Ghazy Ahmed, Zancanaro Edoardo, Lurz Philipp, Treede Hendrik, von Bardeleben Ralph Stephan

机构信息

Department of Cardiovascular Surgery, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany.

Department of Cardiology, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany.

出版信息

JACC Case Rep. 2024 Aug 7;29(15):102391. doi: 10.1016/j.jaccas.2024.102391.

DOI:10.1016/j.jaccas.2024.102391
PMID:39157549
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11328740/
Abstract

A 66-year-old woman with a complex medical history underwent transcatheter mitral valve replacement (TMVI) owing to mitral insufficiency. Risk factors and noncompliance led to bioprosthetic valve thrombosis (BPVT) within 3 years. Emergent surgery indicated by an ad hoc heart team successfully managed the situation, showcasing challenges in BPVT management after TMVI.

摘要

一名有复杂病史的66岁女性因二尖瓣关闭不全接受了经导管二尖瓣置换术（TMVI）。风险因素和不依从性导致生物瓣膜在3年内发生血栓形成（BPVT）。一个专门的心脏团队指示进行紧急手术，成功地处理了这种情况，显示了TMVI后BPVT管理中的挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f92d/11328740/b3894d34e24c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f92d/11328740/b6a1a0cf93e0/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f92d/11328740/26a841b98410/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f92d/11328740/b3894d34e24c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f92d/11328740/b6a1a0cf93e0/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f92d/11328740/26a841b98410/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f92d/11328740/b3894d34e24c/gr2.jpg

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本文引用的文献

1
2-Year Outcomes of Transcatheter Mitral Valve Replacement in Patients With Severe Symptomatic Mitral Regurgitation.经导管二尖瓣置换术治疗重度症状性二尖瓣反流患者的 2 年结果。
J Am Coll Cardiol. 2021 Nov 9;78(19):1847-1859. doi: 10.1016/j.jacc.2021.08.060.
2
Transcatheter Mitral Valve Replacement and Thrombosis: A Review.经导管二尖瓣置换术与血栓形成：综述
Front Cardiovasc Med. 2021 Jun 4;8:621258. doi: 10.3389/fcvm.2021.621258. eCollection 2021.
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2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.
2020美国心脏病学会/美国心脏协会瓣膜性心脏病患者管理指南：美国心脏病学会/美国心脏协会临床实践指南联合委员会报告
J Am Coll Cardiol. 2021 Feb 2;77(4):e25-e197. doi: 10.1016/j.jacc.2020.11.018. Epub 2020 Dec 17.
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Bioprosthetic Valve Thrombosis.生物人工瓣膜血栓形成
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Bioprosthetic Valve Thrombosis Versus Structural Failure: Clinical and Echocardiographic Predictors.生物瓣血栓形成与结构失效：临床和超声心动图预测因素。
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