使用Inovare Alpha快速部署球囊扩张式人工瓣膜治疗退化性二尖瓣生物人工瓣膜——一种微创方法。
Treatment of degenerated mitral bioprosthesis using inovare alpha rapid deployment balloon-expandable prosthesis-a minimally invasive approach.
作者信息
Corso Ricardo Barros, Nascimento Dos Santos Marcus Vinicius, Kalil da Silva Pina Glauco, Carlos Ferreira Leal João
机构信息
Department of Cardiovascular Surgery, Hospital Alvorada Brasília, Brasília, DF, Brazil.
Department of Cardiovascular Surgery, Hospital Beneficência Portuguesa, São José do Rio Preto, SP, Brazil.
出版信息
Interdiscip Cardiovasc Thorac Surg. 2024 Oct 8;39(4). doi: 10.1093/icvts/ivae160.
This case report describes an 82-year-old woman with severe mitral bioprosthesis stenosis and NYHA II-III heart failure, EuroScore II of 22.54% and STS Score of 13.7%. She received innovative treatment with transatrial mitral valve-in-valve implantation of a rapid deployment balloon-expandable prosthesis via video-assisted right lateral mini-thoracotomy, with myocardial protection through ventricular fibrillation. The patient was discharged and, under cardiology follow-up, achieved NYHA I class with no angina.
本病例报告描述了一名82岁女性，患有严重的二尖瓣生物瓣膜狭窄及纽约心脏协会（NYHA）心功能II - III级心力衰竭，欧洲心脏手术风险评估系统（EuroScore）II为22.54%，胸外科医师协会（STS）评分13.7%。她接受了创新性治疗，通过电视辅助右侧小切口开胸，经心房进行快速部署球囊扩张式人工瓣膜的二尖瓣瓣中瓣植入术，并通过心室颤动实现心肌保护。患者出院，在心脏病学随访中，达到NYHA I级，无心绞痛。
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