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放疗后瓣膜疾病的混合治疗方法：机器人二尖瓣置换术联合经导管主动脉瓣置换术

Hybrid Approach to Post-Radiation Valve Disease: Robotic Mitral Valve Replacement Alongside Transcatheter Aortic Valve Replacement.

作者信息

Bielichenko Svitlana, Kang Jagdip, Patel Nilay K, Langer Nathaniel B, Melnitchouk Serguei

机构信息

Division of Cardiac Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.

University Department of Cardiac Surgery, Leipzig Heart Center, Leipzig, Germany.

出版信息

JACC Case Rep. 2024 Nov 6;29(21):102690. doi: 10.1016/j.jaccas.2024.102690.

DOI:10.1016/j.jaccas.2024.102690
PMID:39619031
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11602586/
Abstract

A 63-year-old woman with history of mediastinal radiation was admitted for decompensated heart failure due to severe post-radiation aortic and mitral valve disease. To reduce cardiopulmonary bypass time and postoperative pulmonary complications, she underwent a hybrid approach with robotic mitral valve replacement and transcatheter aortic valve replacement.

摘要

一名有纵隔放疗史的63岁女性因严重放疗后主动脉和二尖瓣疾病导致失代偿性心力衰竭入院。为了减少体外循环时间和术后肺部并发症，她接受了机器人二尖瓣置换术和经导管主动脉瓣置换术的联合治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32f0/11602586/6faee761f5f3/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32f0/11602586/6808ad020e5a/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32f0/11602586/aed72883ee81/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32f0/11602586/fcaf9952620a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32f0/11602586/6faee761f5f3/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32f0/11602586/6808ad020e5a/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32f0/11602586/aed72883ee81/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32f0/11602586/fcaf9952620a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32f0/11602586/6faee761f5f3/gr4.jpg

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本文引用的文献

1
Radiation-Induced Aortic Stenosis: An Update on Treatment Modalities.放射性主动脉狭窄：治疗方式的最新进展
JACC Adv. 2023 Jan 11;2(1):100163. doi: 10.1016/j.jacadv.2022.100163. eCollection 2023 Jan.
2
Valvular Heart Disease Associated With Radiation Therapy: A Contemporary Review.与放射治疗相关的心脏瓣膜病：当代综述
Struct Heart. 2022 Oct 31;7(2):100104. doi: 10.1016/j.shj.2022.100104. eCollection 2023 Mar.
3
Cardiovascular risk factors, radiation therapy, and myocardial infarction among lymphoma survivors.淋巴瘤幸存者的心血管危险因素、放射治疗和心肌梗死。
Acta Oncol. 2022 Sep;61(9):1064-1068. doi: 10.1080/0284186X.2022.2107402. Epub 2022 Oct 18.
4
Transcatheter Compared With Surgical Aortic Valve Replacement in Patients With Previous Chest-Directed Radiation Therapy.经导管与外科主动脉瓣置换术治疗既往接受胸部定向放射治疗患者的比较
JACC CardioOncol. 2021 Sep 21;3(3):397-407. doi: 10.1016/j.jaccao.2021.07.005. eCollection 2021 Sep.
5
Radiation-Induced Cardiovascular Disease: Review of an Underrecognized Pathology.辐射诱导性心血管疾病：一种认识不足的病理学综述。
J Am Heart Assoc. 2021 Sep 21;10(18):e021686. doi: 10.1161/JAHA.121.021686. Epub 2021 Sep 6.
6
Impact of Thoracic Radiation on Patients Undergoing Cardiac Surgery.胸部放疗对心脏手术患者的影响。
Semin Thorac Cardiovasc Surg. 2022 Spring;34(1):136-143. doi: 10.1053/j.semtcvs.2021.01.008. Epub 2021 Feb 17.
7
Short-Term Outcomes of Transcatheter Versus Isolated Surgical Aortic Valve Replacement for Mediastinal Radiation-Associated Severe Aortic Stenosis.经导管与单纯外科主动脉瓣置换治疗纵隔放疗相关重度主动脉瓣狭窄的短期结局比较。
Circ Cardiovasc Interv. 2021 Feb;14(2):e010009. doi: 10.1161/CIRCINTERVENTIONS.120.010009. Epub 2021 Feb 5.
8
2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.2020美国心脏病学会/美国心脏协会瓣膜性心脏病患者管理指南：美国心脏病学会/美国心脏协会临床实践指南联合委员会报告
J Am Coll Cardiol. 2021 Feb 2;77(4):e25-e197. doi: 10.1016/j.jacc.2020.11.018. Epub 2020 Dec 17.