Ryzhakov Iu P, Shumskaia T N, Davydova I N
Ortop Travmatol Protez. 1991 Jul(7):33-6.
In the work are presented the results of echocardiographic investigation of 19 patients (aged 11-15) with kyphoscoliotic spine deformities at the Marfan's syndrome. The analysis of the obtained data has shown that the most common type of the cardiovascular system pathology in 78.9% of the examined children and adolescents was the II and III stage prolapse of the mitral valve. The changes of the heart cavity dimensions and the signs of the ventricle overloading have not been detected. Prolapse of the mitral valve cusps to the III stage was the most often accompanied by the root and aorta ascending section dilatation. The presence of the heart affection should be considered as one of the indications to carry out the corrective operations at the spine, allowing to reduce the heart overloading and decrease the probability and rate of progression of the cardiac disturbances, specific for this syndrome.
本文展示了对19例患有马方综合征脊柱后侧凸畸形的患者(年龄在11至15岁之间)进行超声心动图检查的结果。对所得数据的分析表明,在78.9%的受检儿童和青少年中,心血管系统病变最常见的类型是二尖瓣脱垂II期和III期。未检测到心腔尺寸变化和心室超负荷迹象。二尖瓣叶脱垂至III期最常伴有主动脉根部和升主动脉扩张。心脏病变的存在应被视为进行脊柱矫正手术的指征之一,该手术可减轻心脏负荷,降低该综合征特有的心脏疾病进展的可能性和速度。