心脏瓣膜小切口手术流程

心脏瓣膜小切口手术流程
英文回答：
Transcatheter Mitral Valve Leaflet Repair.
Transcatheter mitral valve leaflet repair (TMVLR) is a minimally invasive procedure that involves repairing a leaking mitral valve without the need for open heart surgery. The procedure is performed by inserting a catheter through a small incision in the leg and guiding it up to
the heart. Once the catheter is in place, a small device is used to repair the leaking valve leaflet.
TMVLR is typically performed on patients who have moderate to severe mitral regurgitation, which is a
condition in which the mitral valve does not close properly, allowing blood to leak back into the left atrium. Mitral regurgitation can lead to heart failure and other serious health problems.
TMVLR is a safe and effective procedure that can significantly improve the symptoms of mitral regurgitation. The procedure is typically performed on an outpatient basis, and patients can usually go home the same day.
Procedure.
The TMVLR procedure is performed in a catheterization laboratory. The patient is given intravenous sedation to keep them comfortable.
The doctor will make a small incision in the leg and insert a catheter into the femoral artery. The catheter is then guided up to the heart, using fluoroscopy (X-ray imaging) to visualize the procedure.
Once the catheter is in place, the doctor will insert a small device called a MitraClip into the mitral valve. The MitraClip is a small, clip-like device that is used to
repair the leaking valve leaflet.
The doctor will use the MitraClip to grasp the two
leaflets of the mitral valve and pull them together, reducing the amount of blood that leaks back into the left atrium.
Once the MitraClip is in place, the doctor will remove the catheter and close the incision in the leg.
Recovery.
Most patients can go home the same day after the TMVLR procedure. There may be some soreness or bruising at the incision site, but this should resolve within a few days.
Patients will need to take antibiotics for a few weeks after the procedure to prevent infection. They will also need to follow up with their doctor regularly to make sure that the MitraClip is working properly.
Risks.
TMVLR is a safe and effective procedure, but there are some risks associated with the procedure, including:
Bleeding.
Infection.
Stroke.
Damage to the heart or mitral valve.
The risks of TMVLR are relatively low, and the benefits of the procedure often outweigh the risks.
中文回答：
经导管二尖瓣瓣叶修复术。

经导管二尖瓣瓣叶修复术（TMVLR）是一种微创手术，无需开胸手术即可修复漏水的二尖瓣。

该手术通过在腿部切一个小切口插入导管并将其引导至心脏来进行。

导管就位后，使用一个小装置来修复漏水的瓣叶。

TMVLR 通常对患有中度至重度二尖瓣关闭不全的患者进行，二
尖瓣关闭不全是二尖瓣无法正常闭合的情况，导致血液漏回左心房。

二尖瓣关闭不全可能导致心力衰竭和其他严重的健康问题。

TMVLR 是一种安全有效的程序，可以显着改善二尖瓣关闭不全
的症状。

该手术通常在门诊进行，患者通常可以在同一天回家。

程序。

TMVLR 手术在导管室进行。

患者接受静脉镇静以保持舒适。

医生会在腿上做一个小的切口，并向股动脉中插入导管。

然后
使用透视（X 射线成像）将导管引导至心脏以可视化手术过程。

导管就位后，医生会将一个称为 MitraClip 的小装置插入二尖瓣。

MitraClip 是一种夹子状的小装置，用于修复漏水的瓣叶。

医生将使用 MitraClip 抓取二尖瓣的两个瓣叶并将其拉在一起，减少漏回左心房的血液量。

MitraClip 就位后，医生会移除导管并缝合腿部切口。

恢复。

大多数患者在 TMVLR 手术后可以在同一天回家。

切口处可能会
有一些酸痛或瘀伤，但应在几天内消失。

患者需要在手术后服用几周的抗生素以防止感染。

他们还需要
定期随访医生以确保 MitraClip 正常工作。

风险。

TMVLR 是一种安全有效的程序，但该程序也有一些风险，包括：出血。

感染。

中风。

对心脏或二尖瓣的损伤。

TMVLR 的风险相对较低，该手术的好处往往大于风险。