二尖瓣狭窄及因二尖瓣环阻塞性脓肿导致的心源性休克。
Mitral stenosis and cardiogenic shock from an obstructive abscess of the mitral annulus.
作者信息
Kobulnik Jeremy, Hutchison Stuart J
机构信息
Division of Cardiology, St Michael's Hospital, University of Toronto, Toronto, Ontario.
出版信息
Can J Cardiol. 2008 Apr;24(4):e22-4. doi: 10.1016/s0828-282x(08)70185-5.
A 48-year-old female hemodialysis patient with gram-positive mitral endocarditis developed progressive hemodynamic collapse. Echocardiography revealed a mitral annular abscess, which expanded rapidly due to connection with and pressure from the left ventricle. The mitral annular abscess had enlarged sufficiently to obstruct the mitral orifice, resulting in acute cardiogenic shock. The patient underwent and survived emergency surgical repair, and remained well on follow-up.
一名48岁的女性血液透析患者患有革兰氏阳性二尖瓣心内膜炎，出现了进行性血流动力学衰竭。超声心动图显示二尖瓣环脓肿，由于与左心室相连并受其压力影响，脓肿迅速扩大。二尖瓣环脓肿已充分增大，足以阻塞二尖瓣口，导致急性心源性休克。该患者接受了紧急外科修复手术并存活下来，随访期间情况良好。
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