在严重的右心室功能障碍的情况下,在流性三回中进行过导管三门置换
Jocelyn Chai1, Brian Chiang1, Gnalini Sathananthan2
1Division of Cardiology, University of British Columbia, Vancouver, British Columbia, Canada.
JACC. Case reports
|October 22, 2025
概括
使用LuX-Valve Plus的透管三管替换为患有严重三管吐 (TR) 和右心力衰竭的患者提供了一个可行的选择,当其他治疗方法失败时. 这种方法显示了改善右心室功能的早期迹象.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 心脏外科手术 心脏外科手术
背景情况:
- 流性三回 (TR) 存在重大管理挑战,特别是在不适合常规外科手术或跨导管边缘到边缘修复的患者中.
- 严重TR的次要右心力衰竭往往导致衰弱的症状和不良预后.
研究的目的:
- 评估使用LuX-Valve Plus装置进行跨导管三门置换 (TTVR) 的可行性和早期结果.
- 评估TTVR对右心室 (RV) 功能和重塑重症TR和RV功能障碍患者的影响.
主要方法:
- 一个病例报告,一名61岁的男性患有NYHA类IV症状,原因是大量TR,严重VR扩张和功能障碍,他不符合其他干预措施的条件.
- 患者通过LuX-Valve Plus进行了成功的TTVR.
- 术后心声扫描用于评估RV尺寸,功能和应变.
主要成果:
- 该程序证明了可行性,并成功植入了LuX-Valve Plus.
- 心声扫描显示了RV终端-透气区域,部分区域变化和应变的显著改善,表明RV功能得到改善.
- 患者的症状有所改善,但后来死于与此无关的原因.
结论:
- 用LuX-Valve Plus替换透导管三管是高风险患者的可行选择,这些患者有大量的TR和严重的RV功能障碍.
- 通过这种跨导管方法,可以实现RV重塑和功能改善的早期迹象.
- 对RV功能进行全面的多参数评估对于患者选择和指导干预至关重要.
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