用MitraClip®进行过导管 mitra门修复,使单个肺移植成为可能:一个病例报告
François M Carlier1,2, Michel Dumonceaux1,2, Thomas Planté-Bordeneuve1,2
1Lung Transplant Centre, CHU Mont-Godinne UCL Namur, Yvoir, Belgium.
Heliyon
|January 13, 2025
概括
在COPD患者中,通过透气管米特拉置换使肺高血压正常化,患者有严重的米特拉吐. 这使得单个肺移植成功,改善了患者的呼吸功能和整体健康状况.
科学领域:
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
- 移植医学 移植医学
背景情况:
- 头骨回引起的毛囊后肺高血压是肺移植的禁忌.
- 在肺移植候选人中,严重的 mitrale 吐会造成初级移植功能障碍的风险.
- 对于所有患有慢性呼吸系统疾病的患者来说,手术性关节置换可能是不可行的.
研究的目的:
- 报告患有慢性肺炎和严重腹症的患者进行过导管 mitra 置换 (TMVR) 的病例.
- 评估TMVR在正常化肺动脉压力的有效性.
- 评估TMVR在有资格的候选人中促进肺移植的潜力.
主要方法:
- 一名66岁的患者患有慢性慢性肺炎和严重的甲骨管吐,无法接受手术的甲骨管置换,接受了TMVR.
- 在手术后监测肺动脉压力.
- 患者随后接受了一次肺移植手术.
主要成果:
- 透导管中枢替换成功地使肺动脉压力正常化.
- 患者有资格接受并成功接受一次性肺移植手术.
- 肺移植后18个月,患者表现出正常的功能状态和出色的肺功能.
结论:
- 透导管 mitra 置换是手术的可行替代方案,用于治疗患有慢性呼吸系统疾病的患者的毛细血管后肺高血压.
- 在精心挑选的候选人中,TMVR有可能使肺移植成为可能.
- 这种方法可以改善结合心脏和肺部疾病需要移植的患者的结果.
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