Anderson Yvonne, Wilson Nigel, Nicholson Ross, Finucane Kirsten
Kidz First Children's Hospital, Middlemore Hospital, South Auckland, New Zealand.
J Paediatr Child Health. 2008 Mar;44(3):134-7. doi: 10.1111/j.1440-1754.2007.01214.x. Epub 2007 Sep 14.
Description of the presentation and management of cases of fulminant mitral regurgitation in acute rheumatic fever (ARF).
Retrospective case series of 4 children, aged 6-10 years, presenting in acute pulmonary oedema because of rupture of elongation of the chordae tendinae of the mitral valve leading to flail leaflets and severe mitral regurgitation.
Urgent cardiac surgery with mitral valve repair was performed. Resolution of heart failure was achieved in each case. The difficulties in diagnosis and management of this uncommon and often unrecognised presentation of ARF are discussed.
Cardiac surgery can be life saving for fulminant mitral regurgitation due to rupture of chordae tendinae of the mitral valve in ARF.
描述急性风湿热（ARF）中暴发性二尖瓣反流病例的表现及处理。
对4例6 - 10岁儿童进行回顾性病例系列研究，这些儿童因二尖瓣腱索延长破裂导致连枷样瓣叶和严重二尖瓣反流而出现急性肺水肿。
进行了二尖瓣修复的紧急心脏手术。每例患者的心力衰竭均得到缓解。讨论了这种ARF罕见且常未被认识的表现形式在诊断和处理上的困难。
对于ARF中因二尖瓣腱索破裂导致的暴发性二尖瓣反流，心脏手术可挽救生命。
