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中华心脏与心律电子杂志 ›› 2023, Vol. 11 ›› Issue (01) : 54 -57. doi: 10.3877/cma.j.issn.2095-6568.2023.01.011

所属专题: 经典病例

病例报告

国产经导管二尖瓣间接瓣环修复系统治疗二尖瓣反流一例
张蕾1, 李伟2, 潘文志1, 张晓春1, 管丽华1, 张源1, 陈莎莎1, 李明飞1, 潘翠珍2, 周达新1, 葛均波1,()   
  1. 1. 200032 上海,复旦大学附属中山医院心内科 上海市心血管病研究所 国家放射与治疗临床医学研究中心
    2. 200032 上海,复旦大学附属中山医院心超室
  • 收稿日期:2023-03-15 出版日期:2023-03-25
  • 通信作者: 葛均波

A case of transcatheter indirect annulus Mitral valve repair for mitralregurgitation with domestic device

Lei Zhang1, Wei Li2, Wenzhi Pan1, Xiaochun Zhang1, Lihua Guan1, Yuan Zhang1, Shasha Chen1, Mingfei Li1, Cuizhen Pan2, Daxin Zhou1, Junbo Ge1,()   

  1. 1. Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, National Clinical Research Center for Interventional Medicine; Shanghai 200032, China
    2. Department of Echocardiography, Zhongshan Hospital, Fudan University, Shanghai 200032, China
  • Received:2023-03-15 Published:2023-03-25
  • Corresponding author: Junbo Ge
引用本文:

张蕾, 李伟, 潘文志, 张晓春, 管丽华, 张源, 陈莎莎, 李明飞, 潘翠珍, 周达新, 葛均波. 国产经导管二尖瓣间接瓣环修复系统治疗二尖瓣反流一例[J]. 中华心脏与心律电子杂志, 2023, 11(01): 54-57.

Lei Zhang, Wei Li, Wenzhi Pan, Xiaochun Zhang, Lihua Guan, Yuan Zhang, Shasha Chen, Mingfei Li, Cuizhen Pan, Daxin Zhou, Junbo Ge. A case of transcatheter indirect annulus Mitral valve repair for mitralregurgitation with domestic device[J]. Chinese Journal of Heart and Heart Rhythm(Electronic Edition), 2023, 11(01): 54-57.

本文报道了国内率先使用国产经导管二尖瓣间接瓣环修复系统治疗重度二尖瓣反流的病例,简要介绍了手术方法。手术获得了良好短期效果、无并发症出现。

图1 患者术中影像[1A.左心房和心大静脉内磁定位导管连接,建立右颈内静脉到右股静脉的一个连续的环路;1B.该系统的影像,房间隔上的固定器和心大静脉内的T型锚定装置。冠脉造影未见明显冠状动脉受压]
图2 患者手术前后超声心动图[2A.术前超声心动图提示极重度二尖瓣反流;2B.术前超声心动图提示二尖瓣前后径46 mm;2C.术后超声心动图提示中至重度二尖瓣反流;2D.术后超声心动图提示二尖瓣前后径35 mm]
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