Schachner A, Varsano I, Levy M J
J Thorac Cardiovasc Surg. 1975 Sep;70(3):451-7.
A 10-month-old infant, the youngest patient thus far reported to have undergone successful correction of the developmental complex known as "parachute mitral valve," is presented. Severe mitral incompetence and aortic coarctation led to recurrent cardiac failure. Both anomalies were corrected in a one-stage procedure wherein the coarctation was resected under normothermia and the mitral valve replaced thereafter by a prosthesis employing deep hypothermia and total circulatory arrest. He made an uneventful recovery. Forty-two reported cases in the literature are reviewed and the pathologic and clinical features, diagnosis, natural history, and management briefly summarized.
本文介绍了一名10个月大的婴儿，他是迄今为止报道的接受了被称为“降落伞二尖瓣”这种发育性复杂畸形成功矫正手术的最年轻患者。严重的二尖瓣反流和主动脉缩窄导致反复心力衰竭。两种畸形在一期手术中得到矫正，即在常温下切除缩窄段，随后在深低温和全循环停搏下用人工瓣膜置换二尖瓣。他恢复顺利。对文献中报道的42例病例进行了回顾，并简要总结了其病理和临床特征、诊断、自然病史及治疗方法。
