在马方综合征中,三插头技术用于关心心膜漏洞的关闭
Vlasis Ninios1, Georgios E Papadopoulos2, Andreas Ioannides1
12nd Cardiology Department, European Interbalkan Medical Center, Thessaloniki, GRC.
Cureus
|February 24, 2025
概括
本案例研究详细介绍了马凡综合征患者在10年后的中枢置换后,成功通过皮肤关闭漏 (PVL) 的情况. 最少侵入性技术和多种设备取得了出色的症状和心声回声结果.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 医疗器械 医疗器械
背景情况:
- 副膜泄漏 (PVLs) 是额头置换后的一个重要并发症,特别是在患有连接组织疾病的患者中,如马凡综合征.
- 在高风险患者中管理PVL带来了独特的挑战,通常需要替代性方法来进行手术重新干预.
研究的目的:
- 在一个患有马凡综合征的患者中,成功通过皮肤关闭了 mitra paravalvular 泄漏的案例.
- 突出在高风险人群中治疗复杂PVL的技术考虑和多设备策略.
主要方法:
- 一名患有马凡综合征的32岁女性经历了8x9毫米米特拉PVL的穿皮关闭,10年后的米特拉置换.
- 在全身麻醉下使用三种安普拉策血管插头III装置的逐步关闭策略.
- 多模式成像 (跨胸腔和跨食道心声) 指导了该程序.
主要成果:
- 穿皮关闭成功地将 mitra 排泄减少到微量水平.
- 患者出现了显著的症状改善,六个月后达到纽约心脏协会 (NYHA) 的功能类I.
- 心声扫描证实了手术后对膜缺陷的持久关闭.
结论:
- 肌底PVL的穿皮关闭是一种可行的和有效的选择,即使在具有连接组织疾病的高风险患者中也是如此.
- 使用多个关闭装置和先进的成像技术可以优化复杂的准膜泄漏的结果.
- 操作人员的专业知识和战略性设备选择对于成功地对关PVL进行最小侵入性治疗至关重要.
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