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A Challenging Case of MitraClip on a Tricuspid Valve With a Redundant Eustachian Valve: Surfing Into the Right Atrium.

具有多余咽鼓瓣的三尖瓣MitraClip的挑战性病例: 流入右心房。

  • 影响因子:3.00
  • DOI:10.1016/j.cjca.2019.07.010
  • 作者列表:"Mangieri A","Giannini F","Laricchia A","Gallo F","Iannetta L","Squeri A","Albertini A","Colombo A
  • 发表时间:2020-01-01
Abstract

:Transcatheter tricuspid valve intervention is gaining importance due to the development of percutaneous techniques addressing tricuspid regurgitation. The presence of a redundant eustachian valve can increase procedural complexity by restricting the manipulation of transcatheter devices. We present a case of torrential tricuspid regurgitation and a redundant eustachian valve hampering the manipulation of the delivery system. We were able to reach the tricuspid valve by looping 2 standard guidewires into the atrium. We performed a tricuspid-plasty by implanting 2 MitraClips with a satisfactory final result. This technique can be applied when the eustachian valve impairs navigation in the right atrium.

摘要

: 由于解决三尖瓣反流的经皮技术的发展,经导管三尖瓣介入变得越来越重要。冗余的咽鼓管瓣膜的存在可以通过限制经导管装置的操作来增加程序复杂性。我们介绍了一例三尖瓣反流和多余的咽鼓管瓣膜阻碍了输送系统的操作。我们能够通过将2根标准导丝循环到心房中来到达三尖瓣。我们通过植入2个MitraClips进行了三尖瓣成形术,获得了满意的最终结果。当咽鼓管瓣膜损害右心房中的导航时,可以应用该技术。

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影响因子:0.96
发表时间:2020-02-01
DOI:10.1002/jcu.22732
作者列表:["Tadic M","Belyavskiy E","Cuspidi C","Pieske B","Haßfeld S"]

METHODS::We present the case of a 61-year-old woman with a large tumoral infiltration extending from the pelvis throughout the inferior vena cava inferior to the right atrium, protruding into the right ventricle and right ventricular outflow tract. She had been treated 10 years before for low-grade endometrial stromal sarcoma by hysterectomy and adnexectomy followed by hormone- and radio-therapy. Due to cancer recurrence, she underwent peritonectomy, appendectomy, and resection of terminal ileum.

翻译标题与摘要 下载文献
影响因子:2.41
发表时间:2020-06-12
DOI:10.4244/EIJ-D-18-01138
作者列表:["Pellicano M","Di Gioia G","Ciccarelli G","Xaplanteris P","Delrue L","Toth GG","Van Durme F","Heyse A","Wyffels E","Vanderheyden M","Bartunek J","De Bruyne B","Barbato E"]

METHODS:AIMS:Significant platelet activation after long stented coronary segments has been associated with periprocedural microvascular impairment and myonecrosis. In long lesions treated either with an everolimus-eluting bioresorbable vascular scaffold (BVS) or an everolimus-eluting stent (EES), we aimed to investigate (a) procedure-related microvascular impairment, and (b) the relationship of platelet activation with microvascular function and related myonecrosis. METHODS AND RESULTS:Patients (n=66) undergoing elective percutaneous coronary intervention (PCI) in long lesions were randomised 1:1 to either BVS or EES. The primary endpoint was the difference between groups in changes of pressure-derived corrected index of microvascular resistance (cIMR) after PCI. Periprocedural myonecrosis was assessed by high-sensitivity cardiac troponin T (hs-cTnT), platelet reactivity by high-sensitivity adenosine diphosphate (hs-ADP)-induced platelet reactivity with the Multiplate Analyzer. Post-dilatation was more frequent in the BVS group, with consequent longer procedure time. A significant difference was observed between the two groups in the primary endpoint of ΔcIMR (p=0.04). hs-ADP was not different between the groups at different time points. hs-cTnT significantly increased after PCI, without difference between the groups. CONCLUSIONS:In long lesions, BVS implantation is associated with significant acute reduction in IMR as compared with EES, with no significant interaction with platelet reactivity or periprocedural myonecrosis.

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翻译标题与摘要 下载文献
影响因子:1.67
发表时间:2020-01-01
DOI:10.2174/1573403X15666190513105231
作者列表:["Dev M","Sharma M","Rana N"]

METHODS:BACKGROUND:Aortopulmonary window is an uncommon congenital heart disease, with untreated cases not surviving beyond childhood. However, very rarely it can present in adult patients with features of pulmonary hypertension. Clinically these patients cannot be differentiated from other more common conditions with left to right shunt. Transthoracic echocardiography if performed meticulously, can depict the defect in aortopulmonary septum. RESULTS:We report a case of large unrepaired aortopulmonary window in a 23 years old patient, diagnosed on transthoracic echocardiography.

心脏影像技术方向

心脏结构和心脏血流的可视化,用于诊断评估或通过内窥镜、放射性核素成像等技术来指导心脏手术。

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