医学
心脏病学
内科学
二尖瓣置换术
心力衰竭
肺动脉高压
二尖瓣反流
二尖瓣
多普勒超声心动图
反流(循环)
外科
心导管术
舒张期
血压
作者
Vincenzo Pestrichella,Antonio Pignatelli,Rossella Alemanni,Rosamaria Montesanti,Maurizio Braccio,Francesco Greco,Pierpaolo Dambruoso,Cataldo Memmola,Mauro Cassese,Gaetano Contegiacomo,Rodrigo Bagur
出处
期刊:PubMed
日期:2016-07-01
卷期号:28 (7): E66-8
被引量:4
摘要
A 67-year-old patient with rheumatic heart valve disease had undergone two cardiac surgeries at the age of 30 years, then re-do with mitral valve replacement at 50 years. She presented with congestive heart failure and hemolytic anemia. Doppler echocardiography showed moderate-severe mitral regurgitation due to paravalvular mitral valve leak (PVML) and severe pulmonary hypertension. Transesophageal echocardiography demonstrated severe PVML secondary to a large 20 mm-long PVML defect. Due to comorbidities, the heart team deemed a third reoperation at very high surgical risk; therefore, the patient was considered most suitable for a transcatheter approach to PVML closure. Two Occlutech paravalvular leak devices were successfully delivered using a simultaneous double-transapical access with double-wire technique.
科研通智能强力驱动
Strongly Powered by AbleSci AI