颈静脉入路经导管三尖瓣置换术一例  

Transcatheter tricuspid valve replacement via vena jugularis interna:A case report

作　　者：曹静怡 乔帆 宋智钢 薛清 蔡成良 杨帆 周广为 李白翎 王军 韩林 徐志云 陆方林 CAO Jingyi;QIAO Fan;SONG Zhigang;XUE Qing;CAI Chengliang;YANG Fan;ZHOU Guangwei;LI Bailing;WANG Jun;HAN Lin;XU Zhiyun;LU Fanglin(Department of Cardiovascular Surgery,Changhai Hospital,Second Military Medical University,Shanghai,200433,P.R.China)

机构地区：[1]海军军医大学附属长海医院心血管外科,上海200433

出　　处：《中国胸心血管外科临床杂志》2022年第11期1540-1544,共5页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

基　　金：海军军医大学“234”学科攀峰计划(2019YXK031);宁波科技创新2025重大专项(20181310092)。

摘　　要：介绍1例严重三尖瓣关闭不全患者,因无法耐受常规体外循环手术,采用颈静脉入路三尖瓣介入置换装置LuX-Valve的临床经验。患者,女,54岁,2021年11月9日入院,既往有二尖瓣机械瓣植入史,诊断为二尖瓣置换术后三尖瓣严重关闭不全,美国胸外科医师协会评分8.27%。2021年11月13日在全身麻醉下行颈静脉入路经导管三尖瓣置换术,在心脏超声及X线透视辅助下,顺利植入人工瓣膜,三尖瓣反流消失,患者恢复顺利,10 d后出院,术后1个月病情明显改善。We reported a 54-year-old female patient with severe tricuspid regurgitation,who received mechanic valve in the mitral position 15 years ago.The patient’s Society of Thoracic Surgeons score was 8.27%,and was intolerant to open heart surgery,so she was recommended for transcatheter tricuspid valve replacement via right vena jugularis interna.The procedures were guided by echocardiography and X ray fluoroscopy on November 13,2021,the prosthesis was implanted successfully,and the patient was recoved without any adverse events.After 1 month followup,her general condition was apparently improved.

关 键 词：三尖瓣关闭不全 经导管 LuX-Valve 颈内静脉 病例报告 

分 类 号：R654.2[医药卫生—外科学]