Sabbagh Adib H., O'Hare James E., Schocket Lee I., Pinckley James N.
Tucson Medical Center Hospital Department of Thoracic Surgery.
Cardiovasc Dis. 1975;2(3):331-339.
A 51-year-old male with acute fulminating pulmonary edema and cardiogenic shock secondary to severe mitral insufficiency from dislodgment of the disc occluder in a Wada-Cutter valve was treated by immediate open heart procedure with a Bjork-Shiley mitral valve replacement. The patient survived and remains well. This is the second patient reported to survive operation and replacement of a malfunctioning prosthetic mitral valve from which the poppet escaped and embolized. The first case was reported by Hughes et al(1) in February, 1975. Some striking similarities, as well as differences, in these two cases are discussed.
一名51岁男性因Wada-Cutter瓣膜的盘状封堵器移位导致严重二尖瓣关闭不全，继发急性暴发性肺水肿和心源性休克，立即接受了心脏直视手术，置换了Bjork-Shiley二尖瓣。患者存活且情况良好。这是第二例据报道在人工二尖瓣出现故障且瓣尖脱出并发生栓塞后接受手术置换并存活的患者。第一例由休斯等人于1975年2月报道。本文讨论了这两例病例中的一些显著相似点和不同点。
