经颈静脉入路行经导管三尖瓣置换术治疗经导管二尖瓣置换术后持续性重度三尖瓣反流一例  

Transjugular transcatheter tricuspid valve replacement for persistent severe tricuspid regurgitation after transcatheter mitral valve replacement:a case report

作　　者：蒲星州 赵振刚[1] 魏薪[1] 冯沅[1] 陈飞[1] 陈茂[1] PU Xingzhou;ZHAO Zhengang;WEI Xin;FENG Yuan;CHEN Fei;CHEN Mao(Department of Cardiology,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China)

机构地区：[1]四川大学华西医院心脏内科,成都610041

出　　处：《华西医学》2024年第9期1375-1378,共4页West China Medical Journal

基　　金：四川省科学技术厅自然科学基金(2023NSFSC1657)。

摘　　要：该文报道1例经颈静脉入路行经导管三尖瓣置换术(transcatheter tricuspid valve replacement,TTVR)治疗经导管二尖瓣置换术后持续性重度三尖瓣反流的病例。该患者为80岁女性,入院前2个月于四川大学华西医院心脏内科行经导管二尖瓣置换术,术后因三尖瓣反流未改善与右心衰竭而病情恶化。患者入院后在全身麻醉下经颈静脉入路行TTVR,在心脏超声及X线透视辅助下,顺利植入人工瓣膜,三尖瓣反流缓解,患者手术顺利,术后25 d病情明显改善,并于术后34 d出院。This article reports a case of transjugular transcatheter tricuspid valve replacement(TTVR)for persistent severe tricuspid regurgitation after transcatheter mitral valve replacement.The patient was an 80 year old female who underwent transcatheter mitral valve replacement at the Department of Cardiology,West China Hospital,Sichuan University,two months before admission.After the surgery,her condition worsened due to unimproved tricuspid regurgitation and right heart failure.After admission,the patient underwent transjugular TTVR under general anesthesia.With the assistance of cardiac ultrasound and X-ray fluoroscopy,an artificial valve was successfully implanted,and tricuspid regurgitation was relieved.The patient’s surgery went smoothly,and the condition improved significantly 25 days after surgery.The patient was discharged 34 days after surgery.

关 键 词：三尖瓣反流 经导管三尖瓣置换术 经导管二尖瓣置换术 

分 类 号：R654.2[医药卫生—外科学]