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布劳恩瓦尔德-卡特人工瓣膜间歇性瓣尖移位:无创诊断与成功的手术治疗

Intermittent poppet dislodgment in a Braunwald-Cutter prosthesis: noninvasive diagnosis and successful surgical treatment.

作者信息

Yakirevich V, Miller H I, Shapira I, Ostzjega E, Gueron M, Vanderman A Y, Vidne B

出版信息

J Am Coll Cardiol. 1984 Feb;3(2 Pt 1):442-6. doi: 10.1016/s0735-1097(84)80033-9.

DOI:10.1016/s0735-1097(84)80033-9
PMID:6693632
Abstract

A 65 year old patient had his mitral and aortic valves replaced with two Braunwald-Cutter prostheses in 1973. Seven years later, he presented with intermittent aortic insufficiency demonstrated by echocardiography, fluoroscopy and angiography. At emergency surgery, the occluders (poppets) of both prostheses were found within the left ventricular cavity. The valves were excised and replaced with Björk-Shiley prostheses and the patient recovered. Aortic occluder escape is rare and usually fatal. Mitral occluder escape of the Braunwald-Cutter prosthesis has not been described previously.

摘要

一名65岁患者于1973年接受了二尖瓣和主动脉瓣置换术,植入了两个布劳恩瓦尔德-卡特人工瓣膜。七年后,经超声心动图、荧光透视检查和血管造影显示,他出现了间歇性主动脉瓣关闭不全。在急诊手术中,发现两个人工瓣膜的封堵器(瓣片)位于左心室腔内。切除这些瓣膜后,换用了比约克-希利人工瓣膜,患者康复。主动脉瓣封堵器脱出很少见,通常是致命的。此前尚未有过关于布劳恩瓦尔德-卡特人工瓣膜二尖瓣封堵器脱出的报道。

相似文献

1
Intermittent poppet dislodgment in a Braunwald-Cutter prosthesis: noninvasive diagnosis and successful surgical treatment.布劳恩瓦尔德-卡特人工瓣膜间歇性瓣尖移位:无创诊断与成功的手术治疗
J Am Coll Cardiol. 1984 Feb;3(2 Pt 1):442-6. doi: 10.1016/s0735-1097(84)80033-9.
2
Current status of the Beall, Bjork-Shiley, Braunwald-Cutter, Lillehei-Kaster and Smeloff-Cutter cardiac valve prostheses.贝洱、比约克-希利、布劳恩瓦尔德-卡特、 Lillehei-Kaster和斯梅洛夫-卡特心脏瓣膜假体的现状。
Am J Cardiol. 1975 Jun;35(6):855-65. doi: 10.1016/0002-9149(75)90122-8.
3
Aortic insufficiency. A result of intermittent migration of aortic valve prosthesis poppet.主动脉瓣关闭不全。主动脉瓣人工瓣膜提升装置间歇性移位的结果。
JAMA. 1976 Jun 28;235(26):2847-8. doi: 10.1001/jama.235.26.2847.
4
Implications of late morphology of Braunwald-Cutter mitral heart valve prostheses.布劳恩瓦尔德-卡特二尖瓣心脏瓣膜假体晚期形态学的影响。
J Thorac Cardiovasc Surg. 1984 Aug;88(2):208-16.
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Late follow-up of the Braunwald-Cutter valve.布劳恩瓦尔德-卡特瓣膜的长期随访
Ann Thorac Surg. 1982 Jun;33(6):554-61. doi: 10.1016/s0003-4975(10)60812-0.
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Aortic and mitral valve replacement with cloth-covered Braunwald-Cutter prosthesis. A three-year follow-up.采用布覆盖的布劳恩瓦尔德-卡特人工瓣膜进行主动脉瓣和二尖瓣置换术。三年随访。
Ann Thorac Surg. 1975 Sep;20(3):239-48. doi: 10.1016/s0003-4975(10)64215-4.
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Major dehiscence of a prosthetic aortic valve: detection by echocardiography.人工主动脉瓣严重裂开:经超声心动图检测
Chest. 1979 Apr;75(4):513-5. doi: 10.1378/chest.75.4.513.
8
Doppler hemodynamic evaluation of prosthetic (Starr-Edwards and Björk-Shiley) and bioprosthetic (Hancock and Carpentier-Edwards) cardiac valves.人工心脏瓣膜(斯塔尔-爱德华兹和比约克-希利型)及生物心脏瓣膜(汉考克和卡朋蒂埃-爱德华兹型)的多普勒血流动力学评估
Am J Cardiol. 1985 Aug 1;56(4):325-32. doi: 10.1016/0002-9149(85)90858-6.
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The performance of the Braunwald-Cutter aortic prosthetic valve.布劳纳沃尔德-卡特主动脉人工瓣膜的性能。
Ann Thorac Surg. 1977 Apr;23(4):302-18. doi: 10.1016/s0003-4975(10)64130-6.
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Doppler echocardiographic evaluation of Hancock and Björk-Shiley prosthetic values.汉考克和比约克-希利人工瓣膜的多普勒超声心动图评估
J Am Coll Cardiol. 1986 Mar;7(3):681-7. doi: 10.1016/s0735-1097(86)80480-6.

引用本文的文献

1
Normal function of a 43-year-old Braunwald Cutter heart valve.一名43岁患者的布劳恩瓦尔德-卡特心脏瓣膜功能正常。
Oxf Med Case Reports. 2018 Feb 26;2018(2):omx107. doi: 10.1093/omcr/omx107. eCollection 2018 Feb.