Percutaneous transvenous mitral commissurotomy following Carpentier ring annuloplasty

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Feldman, T
Levin, TN
Kabour, A
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R5 [内科学];
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1002 ; 100201 ;
摘要
Percutaneous transvenous mitral commissurotomy (PTMC) has been performed in a wide variety of patient subsets. Patients with rheumatic and congenital mitral stenosis have been treated with balloon commissurotomy.(1,2) A variety of subgroups including elderly patients,(3) those with calcified mitral apparatus,(4) and pregnant patients(5,6) have also been described. PTMC in patients with a bioprosthetic mitral valve prosthesis(7,8) and with prior surgical commissurotomy(9) have also been reported. This report describes a patient with prior Carpentier ring mitral annuloplasty for rheumatic mitral regurgitation who subsequently developed commissural fusion. This unique clinical setting poses a number of questions regarding the level of the stenosis, the risks of PTMC, and the feasibility of obtaining a successful acute outcome.
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页码:184 / &
页数:5
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