9岁的Tendyne瓣膜的结构退变：经股静脉经房间隔植入SAPIEN瓣膜治疗Tendyne瓣膜病变

Structural Degeneration of a 9-Year-Old Tendyne: Treatment by Transfemoral Transseptal SAPIEN in Tendyne.

作者信息

Duncan Alison, Quarto Cesare, Denti Paolo, Smith Robert, Heng Ee Ling

机构信息

Royal Brompton Hospital and Harefield NHS Trust, London, United Kingdom.

San Raffaele University Hospital, Milan, Italy.

出版信息

JACC Case Rep. 2024 Aug 7;29(15):102447. doi: 10.1016/j.jaccas.2024.102447.

DOI:10.1016/j.jaccas.2024.102447

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11328747/

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a15/11328747/8c1c983150d8/ga1.jpg

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