经导管心脏三尖瓣脱位后的三尖瓣置换术。

IF 3 2区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Andreas Schaefer, Niklas Schofer, Liesa Castro, Hermann Reichenspurner
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引用次数: 0

摘要

一位77岁女性患者因呼吸困难、外周水肿和右心衰病史转介至我科。超声心动图显示三尖瓣剧烈反流。由于三尖瓣-经导管边缘到边缘修复是不可行的,患者拒绝心内直视手术,心脏小组决定在边缘环尺寸进行经导管三尖瓣植入。手术过程中右心室瓣膜发生移位。在获得患者同意后,对瓣膜进行手术解释,随后进行三尖瓣置换术。术后并发肺炎、胸腔积液、右心、呼吸衰竭。患者术后第19天出院,临床情况良好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Tricuspid valve replacement after dislocation of a transcatheter tricuspid heart valve.

A 77-year-old female patient was referred to our department with dyspnoea, peripheral oedema and a history of right heart failure. Echocardiography revealed torrential tricuspid regurgitation. Since tricuspid-transcatheter edge-to-edge repair was not feasible and the patient refused open heart surgery, heart team decision was made to perform transcatheter tricuspid valve implantation in a borderline annulus dimension. During the procedure, migration of the valve in the right ventricle occurred. After patients' consent was obtained surgical explantation of the valve with subsequent surgical tricuspid valve replacement was performed. Postoperative course was complicated by pneumonia, pleural effusion and right heart and respiratory failure. The patient was discharged home on postoperative day 19 in good clinical condition.

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来源期刊
CiteScore
5.60
自引率
11.80%
发文量
564
审稿时长
2 months
期刊介绍: The primary aim of the European Journal of Cardio-Thoracic Surgery is to provide a medium for the publication of high-quality original scientific reports documenting progress in cardiac and thoracic surgery. The journal publishes reports of significant clinical and experimental advances related to surgery of the heart, the great vessels and the chest. The European Journal of Cardio-Thoracic Surgery is an international journal and accepts submissions from all regions. The journal is supported by a number of leading European societies.
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