Repair of Prosthetic Mitral Valve Paravalvular Leak Using an Off-Pump Transapical Approach

被引:16
作者
Thourani, Vinod H.
Smith, Colleen M.
Guyton, Robert A.
Block, Peter
Liff, David
Willis, Patrick
Lerakis, Stamatios
Arepalli, Chesnal D.
Howell, Sharon
Boulton, Bryon J.
Stewart, James
Babaliaros, Vasilis
机构
[1] Emory Univ, Sch Med, Joseph B Whitehead Dept Surg, Div Cardiothorac Surg, Atlanta, GA USA
[2] Emory Univ, Sch Med, Dept Med, Div Cardiol, Atlanta, GA USA
[3] Emory Univ, Sch Med, Dept Cardiothorac Imaging, Atlanta, GA USA
关键词
PERCUTANEOUS CLOSURE; OCCLUDER;
D O I
10.1016/j.athoracsur.2011.12.035
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Patients who present with significant paravalvular regurgitation after mitral valve replacement remain a difficult patient population and high-risk surgical candidates. We present 3 cases of transapical closure of mitral valve paravalvular leak (PVL) after mitral valve replacement using Amplatzer closure devices (AGA Medical Corp, Plymouth, MN). All 3 patients experienced decreased regurgitation at the site of the closure as well as symptomatic improvement in their heart failure. (Ann Thorac Surg 2012; 94: 275-78) (C) 2012 by The Society of Thoracic Surgeons
引用
收藏
页码:275 / 278
页数:4
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