多支冠状动脉疾病和功能性缺血性二尖瓣反流的两阶段混合策略：病例系列
Two-stage hybrid strategy for multivessel coronary artery disease and functional ischemic mitral regurgitation: A case series.
作者信息
Fukutomi Motoki, Wada Kenji, Uchimuro Tomoya, Hoshina Mizuho, Onishi Takayuki, Takanashi Shuichiro, Tobaru Tetsuya
机构信息
Department of Cardiology, Kawasaki Cardiac Center, Kawasaki Saiwai Hospital, Kawasaki, Japan.
Department of Cardiac Surgery, Kawasaki Cardiac Center, Kawasaki Saiwai Hospital, Kawasaki, Japan.
出版信息
J Cardiol Cases. 2024 May 31;30(3):67-70. doi: 10.1016/j.jccase.2024.05.004. eCollection 2024 Sep.
UNLABELLED
The optimal treatment strategy of high surgical risk patients with multivessel coronary artery disease (CAD) and functional mitral regurgitation (MR) remains controversial. We present two cases in which two-stage hybrid treatment with prior transcatheter mitral valve edge-to-edge repair (TEER) followed by off-pump coronary artery bypass grafting (OPCAB) was successfully performed in patients with CAD and functional ischemic MR. In both cases, the patient showed good hemodynamic stability during OPCAB without an increase in MR. A two-stage hybrid strategy with prior TEER followed by OPCAB may be an ideal treatment option for high surgical risk patients with multivessel CAD and functional ischemic MR.
LEARNING OBJECTIVE
To recognize the effectiveness of a two-stage hybrid approach with transcatheter edge-to-edge repair and off-pump coronary artery bypass grafting in high surgical risk patients with multivessel coronary artery disease and functional mitral regurgitation.
未标注
多支冠状动脉疾病（CAD）合并功能性二尖瓣反流（MR）的高手术风险患者的最佳治疗策略仍存在争议。我们介绍两例患者，他们均为CAD合并功能性缺血性MR，先行经导管二尖瓣缘对缘修复术（TEER），随后进行非体外循环冠状动脉旁路移植术（OPCAB），成功实施了两阶段杂交治疗。在这两例患者中，OPCAB期间患者均表现出良好的血流动力学稳定性，且MR未加重。先行TEER再行OPCAB的两阶段杂交策略可能是多支CAD合并功能性缺血性MR的高手术风险患者的理想治疗选择。
学习目标
认识经导管缘对缘修复术和非体外循环冠状动脉旁路移植术的两阶段杂交方法在多支冠状动脉疾病和功能性二尖瓣反流的高手术风险患者中的有效性。
Zotero 插件