经导管置入SAPIEN 3瓣膜治疗三尖瓣外科生物瓣衰败1例A case report of transcatheter implantation of Edwards SAPIEN 3 valve in a surgical degenerated tricuspid bioprosthesis
巫凯敏,王斌,陈翔,苏茂龙,颜翩翩,丁立成,苏欣,杨杰,彭华,吴锡阶,王焱
摘要(Abstract)：
经导管三尖瓣置换术（TTVR）仍处于临床前试验阶段，但初步研究显示TTVR治疗三尖瓣外科生物瓣衰败是安全有效的。本文报道1例经导管置入SAPIEN 3瓣膜治疗三尖瓣外科生物瓣衰败的60岁女性患者。该患者18年前因风湿性心脏病接受外科二尖瓣机械瓣置换术以及三尖瓣生物瓣置换术，近期出现反复气促，超声心动图提示三尖瓣外科生物瓣再狭窄，因外科手术高危且药物治疗效果不佳，尝试TTVR。术后症状明显改善，超声心动图提示SAPIEN 3瓣膜位置和功能正常。
关键词(KeyWords)： 经导管三尖瓣置换术;生物瓣衰败;瓣中瓣
基金项目(Foundation):
作者(Author): 巫凯敏,王斌,陈翔,苏茂龙,颜翩翩,丁立成,苏欣,杨杰,彭华,吴锡阶,王焱
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