先天性双孔二尖瓣中获得性部分连枷瓣叶导致严重二尖瓣反流。

Acquired partially flail leaflet causing severe mitral regurgitation in a congenital double-orifice mitral valve.

作者信息

Shiran Avinoam, Lewis Basil S

机构信息

Department of Cardiovascular Medicine, Lady Davis Carmel Medical Center, and the Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.

出版信息

J Am Soc Echocardiogr. 2004 May;17(5):478-9. doi: 10.1016/j.echo.2004.01.014.

DOI:10.1016/j.echo.2004.01.014

PMID:15122192

Abstract

Double orifice mitral valve is a rare congenital malformation. We report a 48-year-old woman with new onset congestive heart failure and mitral regurgitation. Transesophageal echocardiography showed a partially flail mitral valve and severe mitral regurgitation. A deep transgastric view showed a double orifice mitral valve with a smaller accessory anterolateral orifice, and identified the origin of the regurgitant jet from the larger posteromedial orifice.

摘要

双孔二尖瓣是一种罕见的先天性畸形。我们报告一例48岁新发充血性心力衰竭和二尖瓣反流的女性患者。经食管超声心动图显示二尖瓣部分脱垂及严重二尖瓣反流。经胃深部视图显示双孔二尖瓣，有一个较小的副前外侧孔，并确定反流束起源于较大的后内侧孔。