Coto E O, Judez V M, Juffe A, Rufilanchas J J, Tellez G, Maroñas J, Aymerich D F
J Thorac Cardiovasc Surg. 1976 Apr;71(4):537-9.
In this report, we present a case of supravalvular stenotic mitral ring in a child. The lesion created a picture of severe mitral stenosis and was successfully managed by resection of the ring. No other malformations of the mitral apparatus or left ventricular outlfow tract were found. On analyzing the diagnostic criteria, we concluded that there appears to be only one useful criterion--the angiographic morphology. However, when ther- is an associated ventricular septal defect or findings of Shone's complex, we should suspect supravalvular ring rather than any other form of mitral stenosis.
在本报告中,我们介绍了一名儿童的瓣上狭窄二尖瓣环病例。该病变呈现出严重二尖瓣狭窄的表现,并通过切除二尖瓣环成功治疗。未发现二尖瓣装置或左心室流出道的其他畸形。在分析诊断标准时,我们得出结论,似乎只有一个有用的标准——血管造影形态。然而,当存在相关的室间隔缺损或有肖恩综合征的表现时,我们应怀疑瓣上环而不是其他形式的二尖瓣狭窄。