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改良尖端至基部LAMPOON术后经导管二尖瓣瓣中瓣植入术

Transcatheter Mitral Valve-in-Ring After Modified Tip-to-Base LAMPOON.

作者信息

Liang Changbin, Li Fuhang, Li Nan, Zhang Haishan, Gao Yuan, Lee Yung-Tsai, Sun Yingxian, Guo Liang

机构信息

Department of Cardiology, The First Hospital of China Medical University, Shenyang, China.

Department of Cardiovascular Ultrasound, The First Hospital of China Medical University, Shenyang, China.

出版信息

JACC Case Rep. 2025 May 28;30(12):104195. doi: 10.1016/j.jaccas.2025.104195.

Abstract

BACKGROUND

The LAMPOON (laceration of the anterior mitral leaflet to prevent outflow obstruction) technique has been reported for mitral valve replacement to reduce the risk for left ventricular outflow tract obstruction.

CASE SUMMARY

We present the case of a patient who was hospitalized for dyspnea and diagnosed with severe mitral regurgitation. In this case, our team performed modified tip-to-base LAMPOON, which was subsequently followed by successful mitral valve replacement.

DISCUSSION AND TAKE HOME MESSAGE

In contrast to previously reported LAMPOON procedures, the modified tip-to-base LAMPOON technique proved to be both safe and effective.

摘要

背景

“LAMPOON”(二尖瓣前叶撕裂以防止流出道梗阻)技术已被报道用于二尖瓣置换术,以降低左心室流出道梗阻的风险。

病例摘要

我们介绍了一名因呼吸困难住院并被诊断为严重二尖瓣反流的患者的病例。在该病例中,我们的团队实施了改良的从瓣尖到瓣基的LAMPOON技术,随后成功进行了二尖瓣置换术。

讨论与要点

与先前报道的LAMPOON手术不同,改良的从瓣尖到瓣基的LAMPOON技术被证明是安全有效的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7589/12235474/81dd255ee272/ga1.jpg

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