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三尖瓣叶联合部脱离导致的Carpentier-Edwards猪生物瓣膜快速衰败:一例报告

Rapidly deteriorated failure of Carpentier-Edwards porcine bioprosthesis caused by three detached commissures: report of a case.

作者信息

Terada Y, Wanibuchi Y

机构信息

Department of Cardiovascular Surgery, Mitsui Memorial Hospital, Tokyo, Japan.

出版信息

Surg Today. 1994;24(9):823-5. doi: 10.1007/BF01636314.

Abstract

A 58-year-old man required an emergency redo mitral valve replacement due to a rapidly deteriorating failure of the Carpentier-Edwards porcine bioprosthesis within [corrected] a few days after the initial operation. The removed bioprosthesis showed that its three commissures had all peeled off each stent, which may have occurred within a short time, and caused massive, rapidly progressive trans-bioprosthetic regurgitation.

摘要

一名58岁男性在初次手术后几天内,因Carpentier-Edwards猪生物瓣膜迅速恶化失效,需要进行紧急二尖瓣再次置换术。取出的生物瓣膜显示其三个瓣叶连接处均已从每个支架上剥离,这可能在短时间内发生,并导致大量、快速进展的人工瓣膜反流。

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