跨septal 穿透管气球 可扩展的 门-在-门-在-环植入在中枢位置的植入
Johannes Wagner1, Andrejs Isajevs1, Renate Rauscher2
1Department of Cardiology, Angiology and Intensive Care Medicine, Cardiovascular Center Hersfeld-Rotenburg, Rotenburg an der Fulda, Germany.
JACC. Case reports
|November 28, 2025
概括
过导管 mitra 置换 (TMVR) 的耐用性是不确定的. 复杂的门在门在戒指手术为退化关提供了替代方案,但长期的结果需要进一步研究.
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:
- 透气管中膜更换 (TMVR) 的长期耐用性,使用在中环内使用爱德华兹·萨皮恩门,尚未得到很好的证实.
- 假肢退化可能需要重新干预.
研究的目的:
- 报告一项复杂的跨septal门-in-valve-in-ring程序,用于由于退化的TMVR而导致严重的额头肌吐.
- 讨论此次干预的程序性挑战和长期成果.
主要方法:
- 一名73岁的男性患有退化的爱德华兹·萨皮恩3门环,经历了跨septal valve-in-valve手术.
- 在现有的退化的门和环中植入了一种Edwards Sapien 3 Ultra Resilia门.
主要成果:
- 截面-在--在-环植入成功完成.
- 该程序解决了严重的假体退化,并改善了患者的功能状态.
结论:
- 截面在在环植入是一种可行的替代方案,用于TMVR后的结构性关节的恶化.
- 成功的长期结果的关键因素包括成像指导,跨septal穿孔技术,以及植入的门的耐用性.
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