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使用定制的35毫米Myval™经导管心脏瓣膜进行经导管肺动脉瓣植入术。

Transcatheter pulmonary valve implantation with custom-made 35-mm Myval™ transcatheter heart valve.

作者信息

Ramakrishnan Sivasubramanian, Faisal Nabeel Valappil, Kadiyani Lamk, Gupta Saurabh Kumar, Sivaprakasam Muthukumaran Chinnasamy

机构信息

Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India.

Department of Pediatric Cardiology, Apollo Hospitals, Chennai, Tamil Nadu, India.

出版信息

Ann Pediatr Cardiol. 2024 Jul-Aug;17(4):281-284. doi: 10.4103/apc.apc_166_24. Epub 2024 Nov 15.

DOI:10.4103/apc.apc_166_24
PMID:39698438
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11651396/
Abstract

Transcatheter pulmonary valve implantation (TPVI) is the standard of care in patients with repaired tetralogy of Fallot (rTOF) presenting with right ventricular outflow tract (RVOT) dysfunction. However, the feasibility of TPVI is limited by the high cost and nonavailability of larger-sized valves for dilated native RVOT of rTOF patients. We report the first successful TPVI with a custom-made 35 mm balloon-expandable valve (Myval™) in a 30-year-old rTOF patient with severe pulmonary regurgitation and RV dysfunction.

摘要

经导管肺动脉瓣植入术（TPVI）是患有法洛四联症修复术后（rTOF）且出现右心室流出道（RVOT）功能障碍患者的标准治疗方法。然而，TPVI的可行性受到高成本以及rTOF患者扩张的原生RVOT较大尺寸瓣膜无法获得的限制。我们报告了首例在一名30岁患有严重肺动脉反流和RV功能障碍的rTOF患者中成功使用定制的35毫米球囊扩张瓣膜（Myval™）进行TPVI的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4f2/11651396/537ddb57db9e/APC-17-281-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4f2/11651396/d26b4038644e/APC-17-281-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4f2/11651396/3578df6a75fe/APC-17-281-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4f2/11651396/4946f79ec09d/APC-17-281-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4f2/11651396/537ddb57db9e/APC-17-281-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4f2/11651396/d26b4038644e/APC-17-281-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4f2/11651396/3578df6a75fe/APC-17-281-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4f2/11651396/4946f79ec09d/APC-17-281-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4f2/11651396/537ddb57db9e/APC-17-281-g004.jpg

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本文引用的文献

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Transcatheter Pulmonary Valve Replacement: A Review of Current Valve Technologies.经导管肺动脉瓣置换术：当前瓣膜技术综述
J Soc Cardiovasc Angiogr Interv. 2022 Sep 16;1(6):100452. doi: 10.1016/j.jscai.2022.100452. eCollection 2022 Nov-Dec.
2
Early multicenter experience of a new balloon expandable MyVal transcatheter heart valve in dysfunctional stenosed right ventricular outflow tract conduits.新型球囊扩张式MyVal经导管心脏瓣膜用于功能失调性狭窄右心室流出道管道的早期多中心经验。
Ann Pediatr Cardiol. 2021 Jul-Sep;14(3):293-301. doi: 10.4103/apc.apc_242_20. Epub 2021 Aug 26.
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Outcomes of Venus P-valve for dysfunctional right ventricular outflow tracts from Indian Venus P-valve database.
来自印度Venus P瓣数据库的Venus P瓣治疗功能失调性右心室流出道的结果。
Ann Pediatr Cardiol. 2021 Jul-Sep;14(3):281-292. doi: 10.4103/apc.APC_175_20. Epub 2021 Aug 26.
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Safety and Feasibility of Melody Transcatheter Pulmonary Valve Replacement in the Native Right Ventricular Outflow Tract: A Multicenter Pediatric Heart Network Scholar Study.经导管 Melody 肺动脉瓣置换术在自体右心室流出道中的安全性和可行性：多中心儿科心脏网络学者研究。
JACC Cardiovasc Interv. 2018 Aug 27;11(16):1642-1650. doi: 10.1016/j.jcin.2018.05.051. Epub 2018 Aug 1.
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Lancet. 2000 Oct 21;356(9239):1403-5. doi: 10.1016/S0140-6736(00)02844-0.