Ripa S, Caccamo L, Amati P C, Bologna F, Piovaccari G C
Unità Operativa di Cardiologia Ospedale degli Infermi Via Settembrini, 2 47900 Rimini.
Ital Heart J Suppl. 2001 Sep;2(9):1020-2.
Cardiovascular disease is a common finding in patients with acromegaly. In such patients, heart failure frequently leads to death. Cardiovascular manifestations of acromegaly include cardiomegaly and very often hypertension, coronary atherosclerosis, and diabetes. Primary valvular disease is less commonly observed. Because it is not clear whether acromegaly-related cardiomyopathy is a specific entity and since there are not many necropsy reports regarding mitral valve prolapse in acromegalic patients, we report the case of severe mitral regurgitation due to rupture of the chordae tendinae in a patient with mitral valve prolapse and acromegaly.
心血管疾病在肢端肥大症患者中很常见。在此类患者中，心力衰竭常导致死亡。肢端肥大症的心血管表现包括心脏肥大，且常伴有高血压、冠状动脉粥样硬化和糖尿病。原发性瓣膜病较少见。由于尚不清楚肢端肥大症相关的心肌病是否为一种特定疾病，且关于肢端肥大症患者二尖瓣脱垂的尸检报告不多，我们报告一例肢端肥大症合并二尖瓣脱垂患者因腱索断裂导致严重二尖瓣反流的病例。
