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尽管Sorin倾斜盘式二尖瓣假体几乎完全被纤维组织阻塞,但仍存活。

Survival despite almost complete fibrous obstruction of a Sorin tilting disc mitral prosthesis.

作者信息

Vitale N, Paparella D, Ranieri V M, Memmola C, Caruso G, Tunzi P, de Luca L

机构信息

Department of Cardiac Surgery, Medical School, University of Bari, Italy.

出版信息

Tex Heart Inst J. 1996;23(2):167-9.

PMID:8792548
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC325331/
Abstract

We report the case of a 40-year-old woman whose Sorin tilting disc mitral prosthesis was obstructed by fibrous overgrowth to the point of near occlusion. The unusual features of this case are that the patient survived reoperation and that her preoperative symptoms were mild despite an immobile disc and near occlusion of the valve. In most similar cases in the literature, preoperative symptoms have been acute and mortality has been high.

摘要

我们报告了一例40岁女性患者,其索林倾斜盘式二尖瓣人工瓣膜被纤维组织过度生长阻塞,几乎完全闭塞。该病例的不寻常之处在于患者再次手术后存活下来,并且尽管瓣膜盘固定不动且瓣膜几乎闭塞,但她术前症状较轻。在文献中大多数类似病例中,术前症状严重且死亡率较高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a0/325331/7a28f647a79a/thij00029-0100-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a0/325331/7a28f647a79a/thij00029-0100-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65a0/325331/7a28f647a79a/thij00029-0100-a.jpg

相似文献

1
Survival despite almost complete fibrous obstruction of a Sorin tilting disc mitral prosthesis.尽管Sorin倾斜盘式二尖瓣假体几乎完全被纤维组织阻塞,但仍存活。
Tex Heart Inst J. 1996;23(2):167-9.
2
Obstruction of Sorin tilting disc mitral prostheses: lessons learned.索林倾斜盘式二尖瓣人工瓣膜梗阻:经验教训
Tex Heart Inst J. 1997;24(1):76-7.
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Tex Heart Inst J. 1999;26(3):226-8.
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Heart valve replacement with the Sorin tilting-disc prosthesis. A 10-year experience.使用索林倾斜盘式人工心脏瓣膜进行心脏瓣膜置换术。十年经验。
J Thorac Cardiovasc Surg. 1992 Feb;103(2):267-75.
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Eur J Echocardiogr. 2008 Sep;9(5):704-6. doi: 10.1093/ejechocard/jen138. Epub 2008 Apr 14.
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Fourteen years' experience with the Björk-Shiley tilting disc prosthesis.使用比约克-希利倾斜盘式人工心脏瓣膜的十四年经验。
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引用本文的文献

1
Replacement of an immobile prosthetic mitral valve: a case report.置换固定的人工二尖瓣:一例病例报告。
Tex Heart Inst J. 1999;26(3):226-8.
2
Obstruction of Sorin tilting disc mitral prostheses: lessons learned.索林倾斜盘式二尖瓣人工瓣膜梗阻:经验教训
Tex Heart Inst J. 1997;24(1):76-7.

本文引用的文献

1
Prosthetic valve obstruction: thrombolysis versus operation.人工瓣膜梗阻:溶栓治疗与手术治疗对比
Ann Thorac Surg. 1994 Feb;57(2):365-70. doi: 10.1016/0003-4975(94)90998-9.
2
Mid-term follow-up after heart valve replacement with CarboMedics bileaflet prostheses.使用CarboMedics双叶瓣膜进行心脏瓣膜置换术后的中期随访。
J Thorac Cardiovasc Surg. 1993 Dec;106(6):1158-65.
3
Long-term follow-up of different models of mechanical and biological mitral prostheses.不同型号机械和生物二尖瓣假体的长期随访
Eur J Cardiothorac Surg. 1995;9(4):181-9. doi: 10.1016/s1010-7940(05)80142-3.
4
Thrombosis of the Björk-Shiley prosthesis: illustrative cases and review of the literature.比约克-希利人工心脏瓣膜血栓形成:病例说明及文献综述
J Thorac Cardiovasc Surg. 1982 Jul;84(1):138-44.
5
Thrombotic and bleeding complications of prosthetic heart valves.人工心脏瓣膜的血栓形成和出血并发症。
Ann Thorac Surg. 1987 Oct;44(4):430-45. doi: 10.1016/s0003-4975(10)63816-7.
6
Thrombotic obstruction of disc valves: clinical recognition and surgical management.盘状瓣膜的血栓性梗阻:临床识别与手术治疗
Ann Thorac Surg. 1989 Jul;48(1):60-5. doi: 10.1016/0003-4975(89)90177-x.
7
Obstruction of mechanical heart valve prostheses: clinical aspects and surgical management.机械心脏瓣膜假体梗阻:临床情况与外科治疗
J Am Coll Cardiol. 1991 Mar 1;17(3):646-50. doi: 10.1016/s0735-1097(10)80178-0.