Khoshnevis R, Barasch E, Pathan A, Christy G W, Massumi G A, Ott D A, Wilansky S
Department of Cardiology, Texas Heart Institute and St Luke's Episcopal Hospital, Houston, Tex. 77030, USA.
J Am Soc Echocardiogr. 1999 May;12(5):319-23. doi: 10.1016/s0894-7317(99)70053-2.
Although an acquired subaortic membrane has been reported as a cause of left ventricular outflow tract (LVOT) obstruction in various clinical settings, it previously has not been reported after mitral valve surgery. We describe 3 cases of acquired LVOT obstruction that resulted from development of a subaortic membrane after mitral valve replacement. This report emphasizes the role of an acquired subaortic membrane in LVOT obstruction after mitral valve replacement, the use of echocardiography in diagnosing this condition, and the importance of early intervention.
尽管后天性主动脉瓣下隔膜已被报道为各种临床情况下左心室流出道(LVOT)梗阻的一个原因,但此前在二尖瓣手术后尚未有相关报道。我们描述了3例二尖瓣置换术后因主动脉瓣下隔膜形成导致的后天性LVOT梗阻病例。本报告强调了后天性主动脉瓣下隔膜在二尖瓣置换术后LVOT梗阻中的作用、超声心动图在诊断该疾病中的应用以及早期干预的重要性。