Baudet M, Guéret P, Rigaud M, Rocha P, Farcot J C, Bardet J, Bourdaris J P
Arch Mal Coeur Vaiss. 1978 Oct;71(10):1170-3.
The authors recall a case of moderate aortic incompetence caused by traumatic rupture of an aortic cusp occurring in a man of 36 years of age. Anatomical lesions of the aortic valve usually lead to severe incompetence for which surgical treatment is required. In this case, the lesion was well tolerated from the clinical and haemodynamic points of view, and surgery was not required; this tolerance has extended into the mid term. The authors emphasise the importance of echocardiography in the diagnosis of disturbance of an aortic valve, and also in following up the progress of the subsequent aortic incompetence.
作者回顾了一例36岁男性因主动脉瓣叶外伤性破裂导致中度主动脉瓣关闭不全的病例。主动脉瓣的解剖学病变通常会导致严重的关闭不全,需要进行手术治疗。在该病例中,从临床和血流动力学角度来看,该病变耐受性良好,无需手术;这种耐受性已持续到中期。作者强调了超声心动图在诊断主动脉瓣紊乱以及跟踪后续主动脉瓣关闭不全进展方面的重要性。