Penny D J, Lincoln C, Redington A N
Royal Brompton and National Heart Hospital, London, U.K.
Int J Cardiol. 1991 Jul;32(1):112-4. doi: 10.1016/0167-5273(91)90053-r.
The development of abnormal flow has been described in patients with incoordinate motion of the ventricular wall. In all cases so far documented, these abnormal patterns of flow have been restricted to the ventricular cavity, and the atrioventricular valve remained closed. We identified a patient after a Fontan operation in whom the degree of ventricular mural incoordination was of such severity that the atrioventricular valve remained open and atrioventricular flow occurred for 140 msec after the onset of QRS complex. As far as we know, this phenomenon has not previously been described.
心室壁运动不协调的患者已被描述存在异常血流的情况。在迄今记录的所有病例中,这些异常血流模式均局限于心室腔,房室瓣保持关闭状态。我们发现一名接受Fontan手术的患者,其心室壁不协调程度严重到房室瓣保持开放,且在QRS波群起始后140毫秒出现房室血流。据我们所知,这种现象此前尚未被描述过。