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法洛四联症和肺动脉闭锁患者因感染性心内膜炎导致的主动脉瓣反流。

Aortic regurgitation from infective endocarditis in Fallot's tetralogy and pulmonary atresia.

作者信息

Emanuel R, Somerville J, Prusty S, Ross D N

出版信息

Br Heart J. 1975 Apr;37(4):365-70. doi: 10.1136/hrt.37.4.365.

DOI:10.1136/hrt.37.4.365
PMID:123753
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC483878/
Abstract

Three cases of aortic regurgitation acquired as the result of bacterial endocarditis complicating Fallot's tetralogy and pulmonary atresia have been described. One also had mitral regurgitation from a 'jet lesion' of the anterior cusp of the mitral valve. Surgical treatment of all abnormalities with aortic valve repair or replacement was undertaken in each patient and was successful in two. Difficulties in diagnosis and surgical treatment are discussed.

摘要

本文描述了3例因细菌性心内膜炎并发法洛四联症和肺动脉闭锁而导致主动脉瓣反流的病例。其中1例还因二尖瓣前叶“喷射性病变”出现二尖瓣反流。每位患者均接受了主动脉瓣修复或置换的所有异常手术治疗，2例手术成功。文中讨论了诊断和手术治疗中的困难。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6f7/483878/26190640620c/brheartj00254-0024-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6f7/483878/0d0c62104086/brheartj00254-0022-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6f7/483878/cd47c2cb42f3/brheartj00254-0022-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6f7/483878/80cfa271c51b/brheartj00254-0023-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6f7/483878/a4f97c33d0d3/brheartj00254-0023-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6f7/483878/26190640620c/brheartj00254-0024-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6f7/483878/0d0c62104086/brheartj00254-0022-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6f7/483878/cd47c2cb42f3/brheartj00254-0022-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6f7/483878/80cfa271c51b/brheartj00254-0023-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6f7/483878/a4f97c33d0d3/brheartj00254-0023-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6f7/483878/26190640620c/brheartj00254-0024-a.jpg

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Aortic regurgitation from infective endocarditis in Fallot's tetralogy and pulmonary atresia.法洛四联症和肺动脉闭锁患者因感染性心内膜炎导致的主动脉瓣反流。
Br Heart J. 1975 Apr;37(4):365-70. doi: 10.1136/hrt.37.4.365.
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Urgent aortic-valve replacement for acute aortic regurgitation due to infective endocarditis.因感染性心内膜炎导致急性主动脉瓣反流而进行的紧急主动脉瓣置换术。
Lancet. 1971 Jul 17;2(7716):115-21. doi: 10.1016/s0140-6736(71)92300-2.

本文引用的文献

1
The aorta and pulmonary arteries in Fallot's tetralogy.法洛四联症中的主动脉和肺动脉。
Br Heart J. 1957 Apr;19(2):201-5. doi: 10.1136/hrt.19.2.201.
2
Total repair of tetralogy of Fallot and replacement of aortic valve with Starr-Edwards prosthesis. Case report.法洛四联症的完全修复及用斯塔尔-爱德华兹人工瓣膜置换主动脉瓣。病例报告。
J Thorac Cardiovasc Surg. 1971 Apr;61(4):599-601.
3
Tricuspid valve subacute bacterial endocarditis complicating tetralogy of Fallot.法洛四联症合并三尖瓣亚急性细菌性心内膜炎。
Chest. 1971 Feb;59(2):227-30. doi: 10.1378/chest.59.2.227.
4
Surgical aspects of bacterial endocarditis.细菌性心内膜炎的外科治疗方面
Br Med J. 1972 Dec 9;4(5840):598-602. doi: 10.1136/bmj.4.5840.598.