Duncan Alison, Quarto Cesare, Denti Paolo, Smith Robert, Heng Ee Ling
Royal Brompton Hospital and Harefield NHS Trust, London, United Kingdom.
San Raffaele University Hospital, Milan, Italy.
JACC Case Rep. 2024 Aug 7;29(15):102447. doi: 10.1016/j.jaccas.2024.102447.
An 83-year-old woman presented 9 years after Tendyne transcatheter mitral valve replacement with acute severe decompensated heart failure. Transesophageal echocardiography reported severe transvalvular mitral regurgitation caused by degenerated Tendyne leaflets. A transfemoral transseptal valve-in-Tendyne procedure using a 26-mm SAPIEN device resulted in significant mitral regurgitation reduction and symptomatic recovery.
一名83岁女性在接受Tendyne经导管二尖瓣置换术9年后出现急性严重失代偿性心力衰竭。经食管超声心动图报告显示,Tendyne瓣叶退变导致严重的二尖瓣跨瓣反流。使用26毫米SAPIEN装置经股静脉房间隔穿刺进行Tendyne内瓣膜置换术,显著减少了二尖瓣反流,并使症状得到缓解。