Iatrogenic Aortic Regurgitation After Tricuspid Annuloplasty Treated by Transcatheter Valve Repair

Basilio Angulo-Lara MD , Manuel Jiménez-Mena MD , Luisa Salido-Tahoces MD , Javier Ortega-Marcos MD
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Abstract

We report a case of a woman who underwent mitral ring and tricuspid annuloplasty. Two months later, she presented with acute heart failure secondary to severe aortic regurgitation, which was a complication of the cardiac surgery. Given the high surgical risk of reoperation in this the patient, she underwent transcatheter aortic valve implantation, with a good result. Aortic regurgitation is a rare and severe complication after valve repair surgery. Our case showed that off-label transcatheter aortic valve implantation in a high-risk patient after iatrogenic aortic regurgitation is safe and feasible.
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经导管瓣膜修复治疗三尖瓣成形术后医源性主动脉反流。
我们报告一例妇女谁接受二尖瓣环和三尖瓣环成形术。两个月后,她出现了急性心力衰竭,继发于严重的主动脉反流,这是心脏手术的并发症。考虑到该患者再次手术的高风险,她接受了经导管主动脉瓣植入术,效果良好。主动脉反流是瓣膜修复术后罕见而严重的并发症。我们的病例表明,在医源性主动脉反流后的高危患者中,经导管非适应症主动脉瓣植入术是安全可行的。
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