二尖瓣-主动脉瓣间纤维性假性动脉瘤
Pseudoaneurysm of mitral-aortic intervalvular fibrosa.
作者信息
Tak Tahir
机构信息
Department of Cardiology, Marshfield Clinic, Marshfield, WI 54449, USA.
出版信息
Clin Med Res. 2003 Jan;1(1):49-52. doi: 10.3121/cmr.1.1.49.
Abstract
Pseudoaneurysm of the mitral-aortic intervalvular fibrosa (MAIVF) is one of the rare complications of infective endocarditis. Echocardiography plays an important role in the diagnosis of this condition. Transesophageal echocardiography (TEE) is generally superior to the transthoracic approach in the evaluation of the complications resulting from infective endocarditis. In this report, we discuss a case of infective endocarditis complicated by the development of a pseudoaneurysm of the MAIVF. The anatomic relationship of structures contiguous to the MAIVF and the salient echocardiographic findings of this clinical condition are presented. At surgery the diagnosis was confirmed and appropriate treatment instituted. The postoperative course was uncomplicated.
摘要
二尖瓣-主动脉瓣间纤维（MAIVF）假性动脉瘤是感染性心内膜炎的罕见并发症之一。超声心动图在该病症的诊断中发挥着重要作用。在评估感染性心内膜炎所致并发症方面，经食管超声心动图（TEE）通常优于经胸超声心动图检查方法。在本报告中，我们讨论了1例并发MAIVF假性动脉瘤的感染性心内膜炎病例。介绍了与MAIVF相邻结构的解剖关系以及该临床病症显著的超声心动图表现。手术时确诊并进行了适当治疗。术后过程顺利。
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