"Super Responder" of Percutaneous Bicaval Valve Implantation for Severe Tricuspid Regurgitation: A Case Report.

IF 0.5 Q3 MEDICINE, GENERAL & INTERNAL
Acta medica Indonesiana Pub Date : 2025-01-01
Ignatius Yansen, Bayushi Eka Putra, Muhammad Yamin, Simon Salim
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引用次数: 0

Abstract

Tricuspid Regurgitation (TR) surgical treatment is associated to high operative mortality, suboptimal long-term survival, and frequent TR recurrence after repair, especially in the elderly. This case report highlights our early experience of TricValve implantation in Indonesia, conducted on a 72-year-old male patient with severe tricuspid regurgitation and advanced right ventricular dysfunction. In this context, the TricValve system offers a promising, less invasive alternative. Despite previous pharmacological management, our patient had been readmitted multiple times due to refractory right heart failure. One month post-TricValve implantation, he showed significant symptomatic relief and stable cardiac function as evidenced by echocardiographic measurements. This case underscores the potential utility of the TricValve system in providing an effective, lower-risk treatment option for patients not suited for traditional surgical intervention.

经皮双瓣植入术治疗严重三尖瓣反流的“超级反应者”1例报告。
三尖瓣反流(TR)手术治疗与手术死亡率高、长期生存率不理想、修复后TR复发频繁相关,尤其是在老年人中。本病例报告强调了我们在印度尼西亚对一名患有严重三尖瓣反流和晚期右心室功能障碍的72岁男性患者进行TricValve植入的早期经验。在这种情况下,TricValve系统提供了一种前景广阔、侵入性较低的替代方案。尽管先前的药物治疗,我们的病人多次再次入院,由于难治性右心衰。超声心动图显示,患者在植入tricvalve一个月后症状明显缓解,心功能稳定。该病例强调了TricValve系统在为不适合传统手术治疗的患者提供有效、低风险的治疗选择方面的潜在效用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Acta medica Indonesiana
Acta medica Indonesiana MEDICINE, GENERAL & INTERNAL-
CiteScore
2.30
自引率
0.00%
发文量
61
审稿时长
12 weeks
期刊介绍: Acta Medica Indonesiana – The Indonesian Journal of Internal Medicine is an open accessed online journal and comprehensive peer-reviewed medical journal published by the Indonesian Society of Internal Medicine since 1968. Our main mission is to encourage the novel and important science in the clinical area in internal medicine. We welcome authors for original articles (research), review articles, interesting case reports, special articles, clinical practices, and medical illustrations that focus on the clinical area of internal medicine. Subjects suitable for publication include, but are not limited to the following fields of: -Allergy and immunology -Emergency medicine -Cancer and stem cells -Cardiovascular -Endocrinology and Metabolism -Gastroenterology -Gerontology -Hematology -Hepatology -Tropical and Infectious Disease -Virology -Internal medicine -Psychosomatic -Pulmonology -Rheumatology -Renal and Hypertension -Thyroid
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