Estevez C M, Corya B C
Chest. 1976 Jun;69(6):801-4. doi: 10.1378/chest.69.6.801.
This report describes the clinical course and serial echocardiographic abnormalities in a patient with nonbacterial thrombotic endocarditis and repeated embolic episodes. Serial echocardiograms revealed a mass of abnormal echoes on the anterior mitral leaflet and progressive restriction of mitral valvular motion. Cineangiographic studies demonstrated a large filling defect in the area of the mitral valve. Surgical intervention confirmed the presence of a large vegetation on the mitral valve. The surgical specimen consisted of a sterile, partially organized fibrin thrombus. The echocardiographic abnormalities are described and discussed in relation to the clinical and pathologic findings.
本报告描述了一名患有非细菌性血栓性心内膜炎并反复发生栓塞事件的患者的临床病程及系列超声心动图异常表现。系列超声心动图显示二尖瓣前叶有一团异常回声，且二尖瓣瓣叶运动逐渐受限。心血管造影研究显示二尖瓣区域有一个大的充盈缺损。手术干预证实二尖瓣上存在一个大的赘生物。手术标本为一个无菌的、部分机化的纤维蛋白血栓。结合临床和病理结果对超声心动图异常表现进行了描述和讨论。
