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经导管瓣膜修复治疗三尖瓣环成形术后医源性主动脉瓣反流

Iatrogenic Aortic Regurgitation After Tricuspid Annuloplasty Treated by Transcatheter Valve Repair.

作者信息

Angulo-Lara Basilio, Jiménez-Mena Manuel, Salido-Tahoces Luisa, Ortega-Marcos Javier

机构信息

Department of Cardiology, Puerta de Hierro University Hospital, Madrid, Spain.

Department of Cardiology, Sanitas-La Moraleja University Hospital, Madrid, Spain.

出版信息

Ann Thorac Surg Short Rep. 2024 Jun 21;2(4):791-794. doi: 10.1016/j.atssr.2024.05.025. eCollection 2024 Dec.

DOI:10.1016/j.atssr.2024.05.025
PMID:39790571
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11708741/
Abstract

We report a case of a woman who underwent mitral ring and tricuspid annuloplasty. Two months later, she presented with acute heart failure secondary to severe aortic regurgitation, which was a complication of the cardiac surgery. Given the high surgical risk of reoperation in this the patient, she underwent transcatheter aortic valve implantation, with a good result. Aortic regurgitation is a rare and severe complication after valve repair surgery. Our case showed that off-label transcatheter aortic valve implantation in a high-risk patient after iatrogenic aortic regurgitation is safe and feasible.

摘要

我们报告一例接受二尖瓣环和三尖瓣环成形术的女性病例。两个月后，她因严重主动脉瓣反流继发急性心力衰竭，这是心脏手术的一种并发症。鉴于该患者再次手术的高手术风险，她接受了经导管主动脉瓣植入术，效果良好。主动脉瓣反流是瓣膜修复手术后一种罕见且严重的并发症。我们的病例表明，对于医源性主动脉瓣反流后的高危患者，进行非标签经导管主动脉瓣植入术是安全可行的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de82/11708741/63f3776f91be/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de82/11708741/f68c1318947c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de82/11708741/141a11d0e2a2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de82/11708741/63f3776f91be/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de82/11708741/f68c1318947c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de82/11708741/141a11d0e2a2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de82/11708741/63f3776f91be/gr3.jpg

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1
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TAVI for Pure Native Aortic Regurgitation: Are We There Yet?经导管主动脉瓣植入术治疗单纯原发性主动脉瓣反流：我们做到了吗？
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Transcatheter Aortic Valve Replacement in Pure Native Aortic Valve Regurgitation.
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