在高手术风险患者中,用VSD封闭器关闭多位心关侧膜漏洞
Shubham Mandhare1, Hemant Kokane1, Niraj Pawar1
1Department of Cardiology, Byramjee Jeejeebhoy Government Medical College & Sassoon General Hospital, Pune, India.
JACC. Case reports
|March 14, 2026
概括
在门更换后,心脏漏 (PVL) 可能导致心力衰竭. 本案例研究显示,在高风险患者中,使用KONAR-MF VSD封闭器成功关闭了多个额头肌PVL.
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:
- mitra paravalvular leak (PVL) 是外科手术中中关置换后的一个常见并发症.
- PVL可能导致症状充血性心力衰竭.
- 过食管回声心电图对于指导皮肤穿器件关闭至关重要.
研究的目的:
- 报告在一次会议中首次成功关闭多个 mitra PVL 的跨导管闭合.
- 评估KONAR-MF VSD封闭装置在高风险患者中的有效性和安全性.
- 突出定制的透导管闭合作为手术的可行的替代方案.
主要方法:
- 一名21岁的女性患者患有类风湿性心脏病,先前进行过金属 mitra 置换,出现了充血性心力衰竭.
- 经食道回声心脏图识别了多重的 mitra PVL 和减少的喷射分数.
- 由于手术风险很高,使用两种KONAR-MF VSD封闭装置进行了皮肤穿PVL关闭.
主要成果:
- 在一次会议中,成功关闭了多个状 mitra PVL.
- 证明了KONAR-MF VSD封闭装置的灵活性,符合性和增强的交付能力.
- 在复杂的案例中,在降低风险的前提下取得成功的结果.
结论:
- 用KONAR-MF VSD封闭器关闭 mitra PVL 的透导管是高风险患者的安全有效选择.
- 与重复手术相比,这种方法提供了症状缓解和改善心脏功能.
- 对于复杂的PVL病例,KONAR-MF VSD封闭装置显示出有希望的结果.
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