Первый опыт использования трансатриального доступа для транскатетерной имплантации клапана пациентам с дисфункцией митрального биопротеза

Приводим три случая успешной имплантации транскатетерного клапана пациентам с дисфункцией биологического протеза митральный клапана (процедура клапан-в-клапан). Пациентам с высоким хирургическим риском, с выраженной сердечной недостаточностью вследствие дисфункции биологического протеза митрального клапана трансатриальным доступом были имплантированы транскатетерные протезы. Под контролем рентгеноскопии и чреспищеводной эхокардиографии транскатетерный клапан был позиционирован в проекции протеза митрального клапана. При навязывании ритма с частотой 180 уд./мин выполнена имплантация транскатетерного клапана. Транскатетерные клапаны функционировали должным образом после операции. Пациенты были выписаны в удовлетворительном состоянии.

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