经根尖TAVI的“跳绳”现象是可逆性二尖瓣返流的原因

Journal of Cardiothoracic Surgery and Therapeutics Pub Date : 2022-04-17 DOI:10.36959/582/443

Mosquera Victor X, Bouzas-Mosquera Alberto, Cuenca-Castillo José J

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引用次数: 0

摘要

二尖瓣反流是经导管主动脉瓣植入术(TAVI)中可能发生的并发症，根据其机制不同，可能需要不同的治疗方法。在本报告中，我们描述了经根尖TAVI的“跳绳征”，作为严重二尖瓣反流的原因，这是由于在经根尖TAVI中，一根超硬的导丝缠绕在二尖瓣腱索上，导致二尖瓣前小叶极度栓扎。

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The "Skipping Rope" Phenomenon in Transapical TAVI as a Cause of Reversible Mitral Regurgitation

Mitral regurgitation is a complication that may occur during transcatheter aortic valve implantation (TAVI) and may require different treatments depending on the mechanism. In this report we describe for a “skipping rope sign” in transapical TAVI as a cause of severe mitral regurgitation due to extreme tethering of the anterior mitral leaflet caused by an extra-stiff guidewire entangled in its chordae tendineae during a transapical TAVI.

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Journal of Cardiothoracic Surgery and Therapeutics

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