首页|经导管二尖瓣瓣中瓣置换术治疗二尖瓣生物瓣假体衰败一例

经导管二尖瓣瓣中瓣置换术治疗二尖瓣生物瓣假体衰败一例

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外科二尖瓣生物瓣置换术后瓣膜多在10~15年发生衰败,需再次进行二尖瓣手术.既往此类患者只能选择再次进行外科开胸二尖瓣置换,尽管再次心内直视手术的风险更高.近年来,通过"瓣中瓣"植入实现经导管二尖瓣置换的介入治疗方式已成为再次外科开胸手术的合理替代方案.该文报道了1例二尖瓣生物瓣衰败的81岁女性患者,尽管因双侧巨大心房伴小心室腔等解剖原因介入操作难度高,但基于完善的术前CT评估,最终成功地经股静脉.房间隔途径实施了经导管二尖瓣置换术.
Valve-in-valve transcatheter mitral valve replacement for the treatment of degenerated mitral bioprostheses:a case report
Surgical bioprosthetic valve in the mitral position typically degenerates in 10-15 years,when intervention is required again.In the past,redo surgical mitral valve replacement has been the only treatment choice for such patients suffering from bioprosthetic valve failure,despite the even higher risk associated with redo open-heart surgery.In recent years,transcatheter valve-in-valve implantation in the mitral position has evolved as an reasonable alternative to redo surgery for the treatment of surgical mitral bioprosthetic valve failure.Here we report an 81-year-old female patient with surgical mitral bioprosthetic valve failure,who successfully underwent valve-in-valve transcatheter mitral valve replacement via the transfemoral-transseptal approach.The procedure was successful owing to comprehensive CT imaging work-up,despite the technical challenges associated with bilateral giant atria and small left ventricle.

Mitral valve replacementbioprosthetic valve failuretranscathetertransseptalvalve-in-valve

晏梦云、冯沅、陈飞、朱中凯、赵振刚、陈茂

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四川大学华西医院心脏内科(成都 610041)

二尖瓣置换 生物瓣衰败 经导管 经房间隔 瓣中瓣

2024

华西医学
四川大学华西医院

华西医学

CSTPCD
影响因子:0.744
ISSN:1002-0179
年,卷(期):2024.39(9)