经导管二尖瓣缘对缘修复术治疗二尖瓣后叶腱索断裂致急性左心衰竭1例Transcatheter edge-to-edge repair in acute mitral regurgitation following acute myocardial infarction:a case report
阚通,单兴华,李松华,董斐斐,陈科宇,王华,包睿,顾赛男,秦永文,白元
摘要(Abstract):
急性心肌梗死引起的乳头肌缺血和腱索断裂可导致急性二尖瓣重度关闭不全,可致患者出现顽固的左心衰竭或心原性休克,死亡率极高,且急诊行外科开胸瓣膜置换或修补手术往往有很高的手术风险,药物治疗效果差。经导管二尖瓣缘对缘修复术已成为一种治疗二尖瓣反流的有效手段。本文介绍1例老年男性患者,因急性心肌梗死导致二尖瓣后叶脱垂引起急性左心衰竭,采用经导管二尖瓣缘对缘修复术对其进行了有效治疗,随访结果良好,为介入治疗技术在该类急性心肌梗死并发症中的应用提供了参考经验。
关键词(KeyWords): 急性心肌梗死;二尖瓣反流;急性心力衰竭;经导管二尖瓣缘对缘修复术
基金项目(Foundation): 中央军委后保部保健专项课题项目(21BJZ06)
作者(Author): 阚通,单兴华,李松华,董斐斐,陈科宇,王华,包睿,顾赛男,秦永文,白元
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