介入三尖瓣置换治疗重度三尖瓣反流一例并文献回顾

Transcatheter tricuspid valve replacement for severe tricuspid regurgitation:a case report and literature review

目的探讨LuX-Valve治疗重度高危三尖瓣反流患者的临床疗效,并对国内外类似装置进行文献回顾。方法分析报告海军军医大学附属长海医院心血管外科1例因"腹胀伴双下肢水肿5年"于2020年3月17日入院,行介入三尖瓣置换的58岁男性重度三尖瓣反流患者的临床资料,并以"transcatheter tricuspid valve replacement""TTVR""transcatheter tricuspid valve intervention"为关键词通过PubMed数据库对2010年1月—2020年6月发表的介入三尖瓣置换相关文献进行检索。结果该例重度三尖瓣反流患者在数字减影血管造影、经食道超声引导下行全身麻醉介入三尖瓣置换术,接受LuX-Valve植入后三尖瓣反流完全纠正,术后1个月随访结果良好。文献回顾发现2款同类装置,均进入临床试验阶段。结论LuX-Valve是一种可靠有效的重度三尖瓣反流治疗手段。

Objective To explore the clinical effect of LuX-Valve implantation in patients with severe tricuspid regurgitation(TR)and review articles about similar devices.Methods We reported the data of a 58-year-old male patient with severe TR,who was hospitalized on March 17 th,2020 because of"abdominal distention and edema for5 years",and then received LuX-Valve implantation in the Department of Cardiovascular Surgery of Changhai Hospital,Naval Medical University.Articles about transcatheter tricuspid valve replacement were reviewed in PubMed according to the key words including"transcatheter tricuspid valve replacement""TTVR"and"transcatheter tricuspid valve intervention".Results The patient with severe TR received LuX-Valve implantation under general anesthesia and the guidance of digital subtraction angiography and transesophageal echocardiography.The patient’s TR was totally corrected after implantation and postoperative one-month follow-up showed well clinical effects.The result of literature review showed that there were two similar devices and both had been implanted in TR patients.Conclusion LuX-Valve is an effective and reliable transcatheter tricuspid valve replacement device.