摘要
一例91岁男性患者因“体检发现二尖瓣脱垂10余年,活动后胸闷1月余”就诊,经胸超声心动图提示为二尖瓣前叶增厚、脱垂伴重度关闭不全,进一步经食管超声心动图证实为二尖瓣前后叶脱垂(A1区、A2区、A3区、P1区、P2区均脱垂)伴大量反流。结合病史,考虑为巴洛综合征。采用两枚MitraClip^(TM)G4 XTW实施经导管二尖瓣缘对缘修复术,术后患者二尖瓣反流减少至少量。随访10个月,患者心功能明显改善,二尖瓣反流程度为轻度。
A 91-year-old male patient was admitted with a history of mitral valve prolapse diagnosed by physical examination ten years prior and recent onset of exertional chest discomfort persisting for over one month.Transthoracic echocardiography showed that the anterior leaflet of mitral valve was thickened and prolapsed with severe regurgitation,and transesophageal echocardiography further confirmed that the anterior and posterior leaflets of mitral valve were prolapsed with massive regurgitation(A1,A2,A3,P1 and P2 were all prolapsed).Thus,the diagnosis of Barlow syndrome was considered.Transcatheter edge-to-edge mitral repair was performed with two MitraClip^(TM)G4 XTWs.After a 10 months follow-up,the patient’s cardiac function was significantly improved,and the degree of mitral regurgitation was mild.
作者
罗飞
王嘉锋
郭志福
秦永文
白元
LUO Fei;WANG Jiafeng;GUO Zhifu;QIN Yongwen;BAI Yuan(Department of Cardiology,Changhai Hospital,Shanghai 200433;Department of Anesthesiology,Changhai Hospital,Shanghai 200433)
出处
《浙江大学学报(医学版)》
北大核心
2025年第2期199-203,共5页
Journal of Zhejiang University(Medical Sciences)
基金
中央军委后勤保障部保健专项(21BJZ06)。
作者简介
第一作者:罗飞,硕士研究生,主要从事心脏瓣膜病介入治疗的临床研究,E-mail:2872530094@qq.com,ORCID:0009-0009-9685-2091;通信作者:白元,副主任医师,副教授,硕士生导师,主要从事结构性心脏病介入治疗和相关器械的研发,E-mail:yuanbai@smmu.edu.cn,ORCID:0000-0003-1530-1888。
