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经缘对缘修复治疗阵发性二尖瓣反流

Paroxysmal Mitral Regurgitation Treated by Edge-to-Edge Repair.

作者信息

Kitamura Shun, Asami Masahiko, Tanaka Jun, Gonda Yuki, Yoshiura Daiki, Horiuchi Yu, Komiyama Kota, Yuzawa Hitomi, Tanabe Kengo

机构信息

Division of Cardiology, Mitsui Memorial Hospital, Tokyo, Japan.

出版信息

JACC Case Rep. 2024 Aug 21;29(16):102473. doi: 10.1016/j.jaccas.2024.102473.

Abstract

A 76-year-old woman with a history of recurrent pulmonary edema was referred because of sudden worsening of dyspnea and cardiogenic shock. Eclipsed mitral regurgitation was identified as the cause. We applied hand-grip stress echocardiography in diagnosis and therapeutic evaluation and managed her condition by transcatheter edge-to-edge mitral valve repair.

摘要

一名有复发性肺水肿病史的76岁女性因呼吸困难突然加重和心源性休克前来就诊。发现病因是隐匿性二尖瓣反流。我们应用握力负荷超声心动图进行诊断和治疗评估,并通过经导管二尖瓣缘对缘修复术对其病情进行管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e4c/11405965/f5f7b49c41e2/ga1.jpg

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本文引用的文献

1
Transcatheter Mitral Valve Repair Effective and Safe for Refractory Eclipsed Mitral Regurgitation-Induced Cardiogenic Shock: A Case Report.
Circ Cardiovasc Imaging. 2021 Jul;14(7):e012641. doi: 10.1161/CIRCIMAGING.121.012641. Epub 2021 Jul 8.
2
Eclipsed Functional Mitral Regurgitation Destabilizing Hypertrophic Cardiomyopathy: An Unusual Case Treated With MitraClip.
CJC Open. 2020 Dec 15;3(5):680-683. doi: 10.1016/j.cjco.2020.12.010. eCollection 2021 May.
4
Eclipsed mitral regurgitation: an unusual cause of acute heart failure.
Eur Heart J Cardiovasc Imaging. 2017 Oct 1;18(10):1163-1169. doi: 10.1093/ehjci/jew192.

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