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医学部 附属病院 循環器内科 |
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Successful transcatheter edge-to-edge repair for tricuspid regurgitation in a patient with a double-inlet left ventricle and discordant connections of the great arteries: a case report 査読あり 国際誌
Masashi Yamaguchi
European Heart Journal - Case Reports 2024年12月
担当区分：筆頭著者, 責任著者 記述言語：英語 掲載種別：症例報告
Abstract
Background: In patients with adult congenital heart disease (ACHD), significant atrioventricular valve regurgitation is an important risk factor for poor outcomes, such as heart failure. However, in many cases, transcatheter intervention may reduce the risk profile to avoid a high surgical risk.
Case summary: A 44-year-old man with complex ACHD in the form of a double-inlet left ventricle, congenitally corrected transposition of the great arteries, pulmonary atresia, atrial septal defect, and patent ductus arteriosus was referred for the treatment of severe tricuspid regurgitation. He received an aortopulmonary shunt and a left-sided modified Blalock-Taussig shunt during childhood. Because of the patient's high surgical risk due to seroma formation around the two shunts and intra-mediastinal collateral vessels, the heart team opted for transcatheter edge-to-edge repair (TEER) using a MitraClip (Abbott Vascular, Santa Clara, CA, USA). Tricuspid TEER was successfully performed using the MitraClip G4 system. The postoperative course was uneventful, with significant improvements in the New York Heart Association functional class.
Discussion: Our case demonstrates that tricuspid TEER can be an alternative option for patients with complex ACHD who are at high risk for conventional surgeries; however, careful assessment with multimodality imaging and a heart team approach, including a cardiologist, ACHD specialist, cardiac surgeon, anthologist, and intensivist, should be considered. -
Reply: a U-turn wiring technique for reverse-angled branches adjacent to ectasia-a case series 査読あり
Masashi Yamaguchi
European Heart Journal - Case Reports 2024年11月
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A U-turn wiring technique for reverse-angled branches adjacent to ectasia: a case series 査読あり
Masashi Yamaguchi
European Heart Journal - Case Reports 2024年9月
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Acute Renal Injury Induced by Hypersensitivity to Tolvaptan in an Elderly Patient with Congestive Heart Failure 査読あり
Masashi Yamaguchi
Internal Medicine 2015年5月
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Reduced fractional shortening of right ventricular outflow tract is associated with adverse outcomes in patients with left ventricular dysfunction 査読あり
Masashi Yamaguchi
Cardiovascular Ultrasound 2013年6月