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急性风湿性心内膜炎腱索断裂1例报告

Rupture of chordae tendineae in acute rheumatic carditis: report of one case.

作者信息

Wu Y N, Lue H C, Hou S H, How S W

机构信息

Department of Pediatrics, Provincial Taipei Hospital, Taiwan, R.O.C.

出版信息

Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi. 1992 Sep-Oct;33(5):376-82.

PMID:1296449
Abstract

Acute rheumatic carditis is a rare cause of ruptured chordae tendineae of the mitral valve. Such rupture could result in severe mitral regurgitation and in fatality. Surgical valvuloplasty or valve replacement is usually necessary. A 12-year old boy presented with acute rheumatic carditis, complicated with rupture of the chordae tendineae of the mitral valve leading to intractable congestive heart failure and cardiogenic shock. He was successfully treated by a simple repair of the chordae and by mitral valvuloplasty.

摘要

急性风湿性心内膜炎是二尖瓣腱索断裂的罕见原因。这种断裂可导致严重的二尖瓣反流并造成死亡。通常需要进行外科瓣膜成形术或瓣膜置换术。一名12岁男孩患有急性风湿性心内膜炎,并伴有二尖瓣腱索断裂,导致难治性充血性心力衰竭和心源性休克。他通过简单的腱索修复和二尖瓣成形术获得了成功治疗。

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引用本文的文献

1
Flail posterior leaflet of the mitral valve in acute rheumatic carditis.急性风湿性心脏炎时二尖瓣后叶连枷样改变
Pediatr Cardiol. 2004 Mar-Apr;25(2):165-6. doi: 10.1007/s00246-003-9007-7.