经食管二维及三维超声心动图在Lux-Valve Plus经血管三尖瓣置换术中的应用:1例报告  

2D and 3D transesophageal echocardiography used in transcatheter tricuspid valve replacement with Lux-Valve Plus system:one case report

作　　者：张源 李伟 潘翠珍 陈丹丹[1,2,3] 陈莎莎 潘文志 李明飞 张晓春 张蕾 陈海燕 孔德红 郭克芳[1,2,3] 舒先红 周达新[1,2,3] 葛均波 ZHANG Yuan;LI Wei;PAN Cui-zhen;CHEN Dan-dan;CHEN Sha-sha;PAN Wen-zhi;LI Ming-fei;ZHANG Xiao-chun;ZHANG Lei;CHEN Hai-yan;KONG De-hong;GUO Ke-fang;SHU Xian-hong;ZHOU Da-xin;GE Jun-bo(Department of Cardiology,Zhongshan Hospital,Fudan University,Shanghai 200032,China;Shanghai Institute of Cardiovascular Diseases,Shanghai 200032,China;National Clinical Research Center for Interventional Medicine,Shanghai 200032,China)

机构地区：[1]复旦大学附属中山医院心内科,上海200032 [2]上海市心血管病研究所,上海200032 [3]国家放射与治疗临床医学研究中心,上海200032

出　　处：《复旦学报（医学版）》2023年第4期620-623,共4页Fudan University Journal of Medical Sciences

基　　金：国家重点研发计划(2020YFC2008100)。

摘　　要：重度三尖瓣反流(tricuspid regurgitation,TR)是一种常见的心脏瓣膜病,死亡率高,指南推荐外科手术高风险患者可考虑介入治疗。现有经血管三尖瓣置换术(transcatheter tricuspid valve replacement,TTVR)器械均处于临床研究阶段,超声心动图在术前筛查、术中影像支持、术后即刻评估及随访方面发挥重要作用。本文报道1例外科手术高危的极重度TR患者,行经颈静脉三尖瓣置换术后临床症状改善,并结合文献分析二维及三维经食管超声心动图(transesophageal echocardiography,TEE)在围手术期的注意事项,以期为临床实践提供参考。Severe tricuspid regurgitation(TR)is a common heart valve disease with high mortality.The guidelines recommend that interventional therapy is considerable for high-risk surgical patients.The existing devices for transcatheter tricuspid valve replacement(TTVR)are in the clinical researches.Echocardiography plays an important role in preoperative screening,intraoperative guiding,postoperative evaluation and follow-up.This manuscript reports a case with high risk of surgery was significantly improved after transjugular TTVR.The precautions of two-dimensional and three-dimensional transesophageal echocardiography(TEE)were analyzed to provide reference for clinical practice.

关 键 词：经食管超声心动图(TEE) 经血管三尖瓣置换术(TTVR) 三尖瓣反流(TR) 心脏瓣膜病 

分 类 号：R654.2[医药卫生—外科学]