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经导管主动脉瓣置换术联合经导管二尖瓣缘对缘修复术同期治疗主动脉瓣反流合并二尖瓣脱垂1例

Simultaneous management of transcatheter aortic valve replacement and transcatheter mitral valve edge-to-edge repair for a case of aortic regurgitation combined mitral valve prolapse

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【作者】 马云龙; 李瑞锋; 何明俊; 王顺; 卓小桢; 韩克;

【Author】 MA Yun-long;LI Rui-feng;HE Ming-jun;WANG Shun;ZHUO Xiao-zhen;HAN Ke;Department of Cardiology,the First Affiliated Hospital of Xi’an Jiaotong University;

【通讯作者】 韩克;

【机构】 西安交通大学第一附属医院心血管内科;

【摘要】 主动脉瓣反流和二尖瓣反流在老年瓣膜性心脏病中发病率较高,部分患者中两者可同时存在。重度主动脉瓣反流合并重度二尖瓣反流往往需要外科换瓣手术,但对于外科高危的患者,其围术期死亡风险明显增加,因此对于这类患者,如解剖条件合适,可选择进行微创介入联合瓣膜干预治疗。本病例报道经导管主动脉瓣置换术联合经导管二尖瓣缘对缘修复术治疗重度主动脉瓣反流合并二尖瓣脱垂1例,以期为该类患者探索新的治疗思路。

【Abstract】 Aortic regurgitation and mitral regurgitation are more common in elderly heart valve disease,and both may be present in some patients. Severe aortic regurgitation complicated with severe mitral regurgitation often requires surgical valve replacement,but in patients at high risk of surgery,the risk of perioperative mortality is significantly increased. Therefore,for such patients,minimally invasive interventions can significantly improve long-term patient outcomes while reducing surgical risk. This article report a case of transcatheter aortic valve replacement combined with transcatheter edge-to-edge repair in the treatment of severe aortic regurgitation combined with mitral valve prolapse,in order to explore new treatment ideas for similar cases.

【基金】 国家自然科学基金项目(92049203)
  • 【文献出处】 中国介入心脏病学杂志 ,Chinese Journal of Interventional Cardiology , 编辑部邮箱 ,2025年10期
  • 【分类号】R654.2
  • 【下载频次】28
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