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左心室假性动脉瘤：二尖瓣心内膜炎的罕见后遗症。

Pseudoaneurysm of the left ventricle: a rare sequela to mitral valve endocarditis.

作者信息

Fiorilli R, Tomasco B, Tesler U F

机构信息

Department of Cardiology, San Carlo Hospital, Potenza, Italy.

出版信息

Tex Heart Inst J. 1999;26(4):309-11.

PMID:10653265
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC325673/
Abstract

Pseudoaneurysms of the left ventricle are a very unusual sequela to mitral valve endocarditis. We report the case of a 62-year-old woman who developed postendocarditis submitral left-ventricular pseudoaneurysm, which was diagnosed by means of transesophageal echocardiography. The mitral valve was replaced with a prosthesis, and the mouth of the pseudoaneurysm was closed with a patch. We discuss the possible mechanism of development of this unusual sequela to mitral valve endocarditis and emphasize the diagnostic value of transesophageal echocardiography.

摘要

左心室假性动脉瘤是二尖瓣心内膜炎一种非常罕见的后遗症。我们报告一例62岁女性，其发生心内膜炎后二尖瓣下左心室假性动脉瘤，经食管超声心动图诊断。二尖瓣用人工瓣膜置换，假性动脉瘤开口用补片封闭。我们讨论了二尖瓣心内膜炎这种罕见后遗症可能的发生机制，并强调经食管超声心动图的诊断价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed6c/325673/49aa0a395845/thij00019-0076-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed6c/325673/cfc1f7b6139f/thij00019-0076-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed6c/325673/49aa0a395845/thij00019-0076-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed6c/325673/cfc1f7b6139f/thij00019-0076-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed6c/325673/49aa0a395845/thij00019-0076-b.jpg

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Pseudoaneurysm of mitro-aortic intervalvular fibrosa during the course of mitral valve endocarditis with aorto-left ventricle outflow tract fistula.二尖瓣心内膜炎合并主动脉-左心室流出道瘘时，二尖瓣-主动脉瓣间纤维三角假性动脉瘤形成。
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本文引用的文献

1
Submitral left ventricular aneurysm. Report of 2 surgical cases.二尖瓣下左心室动脉瘤。2例手术病例报告。
Tex Heart Inst J. 1996;23(1):51-3.
2
Perivalvular cavities in endocarditis: abscesses versus pseudoaneurysms? A transesophageal Doppler echocardiographic study in 118 patients with endocarditis.心内膜炎中的瓣周腔：脓肿与假性动脉瘤？118例心内膜炎患者的经食管多普勒超声心动图研究
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Calcified left ventricular aneurysm in a 6-year-old Caucasian boy.一名6岁白人男孩的左心室钙化性动脉瘤。
Left ventricular pseudoaneurysm caused by coronary spasm, myocardial infarction, and myocardial rupture.
由冠状动脉痉挛、心肌梗死和心肌破裂引起的左心室假性动脉瘤。
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Submitral left ventricular aneurysms. Correction by a new transatrial approach.二尖瓣下左心室室壁瘤。采用一种新的经心房入路进行矫正。
J Thorac Cardiovasc Surg. 1987 Aug;94(2):241-5.
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Improvement in the diagnosis of abscesses associated with endocarditis by transesophageal echocardiography.经食管超声心动图对心内膜炎相关脓肿诊断的改善。
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Successful repair of a submitral left ventricular infected pseudoaneurysm.二尖瓣下左心室感染性假性动脉瘤的成功修复。
Ann Thorac Surg. 1991 Aug;52(2):304-5. doi: 10.1016/0003-4975(91)91360-8.
8
Transesophageal echocardiographic recognition of subaortic complications in aortic valve endocarditis. Clinical and surgical implications.经食管超声心动图对主动脉瓣心内膜炎主动脉瓣下并发症的识别。临床及外科意义。
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Annular submitral left ventricular aneurysm.
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Pseudoaneurysm of the left ventricle: an unusual echocardiographic presentation. Review of the literature.
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