同时通过导管更换双门 (中和三门):一个病例报告
Piyush Garg1, Nagendra Chouhan1, Gagandeep S Wander1
1Department of Cardiology, Medanta-The Medicity, CH Baktawar Singh Rd, Islampur Colony, Sector 38, Gurugram, Haryana 122001, India.
European heart journal. Case reports
|August 7, 2023
概括
这份报告详细介绍了印度首次同时进行跨导管双内 (VIV) 植入,用于患有 mitra 和 tricuspid 生物修饰失效的高风险患者. 成功的手术为复杂的重复门更换提供了一个可行的替代方案.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 生物医学工程 生物医学工程
背景情况:
- 生物假体心脏膜中的结构退化通常需要复杂的重复置换手术,具有高风险.
- 跨导管内 (VIV) 方法越来越喜欢在患有退化生物假体的患者进行重复手术.
- 同时的双VIV植入解决了涉及多个缺陷生物假体的病例.
研究的目的:
- 报道印度首次同时进行跨导管双VIV植入.
- 为了证明这种方法在高手术风险患者中的可行性和有效性.
- 突出VIV作为一个可行的选择失败的生物假体门.
主要方法:
- 一名57岁的女性有风湿性心脏病史,先前进行过 mitra 和三巴替换,同时接受过透管双替换.
- 该程序是光学指导的,并由透食管心声学 (TEE) 支持.
主要成果:
- 同时通过导管的双VIV植入技术上是成功的.
- 患者经历了有利的结果,短期住院和早期康复.
- 这种方法为高风险患者提供了有价值的替代方案,这些患者的生物假体门有故障.
结论:
- 同时通过导管进行双VIV植入是多个缺陷生物假体门的患者的安全和有效选择.
- 这种手术对具有高手术风险的个体尤其有益.
- 这一案例为印度先进的跨导管干预奠定了先例.
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