无主动脉瓣关闭不全情况下合并二尖瓣关闭不全的二尖瓣动脉瘤

[Mitral valve aneurysm associated with mitral insufficiency in absence of aortic insufficiency].

作者信息

Tarasoutchi F, Grinberg M, de Figueiredo Neto J A, de Assis R V, Cardoso L F, Parga Filho J R, Bellotti G

机构信息

Instituto do Coração do Hospital das Clínicas, FMUSP.

出版信息

Arq Bras Cardiol. 1991 Mar;56(3):231-4.

PMID:1888291

Abstract

Two 31 year old patients were interned with cardiac insufficiency (functional class III). Case number one infective endocarditis with mitral valve 8 months before. Case number two had previous rheumatic disease. Both had severe mitral insufficiency and were submitted to replacement of mitral valve. Surgical findings included the presence of aneurysm mitral leaflet (posterior in case one and both in case two). The pathologic study showed mitral valve prolapse and signs of previous endocarditis in case one and rheumatic lesion in the other case.

摘要

两名31岁的患者因心脏功能不全（心功能Ⅲ级）入院。病例一8个月前患有感染性心内膜炎伴二尖瓣病变。病例二曾患风湿性疾病。两人均有严重二尖瓣关闭不全，并接受了二尖瓣置换术。手术发现包括二尖瓣叶动脉瘤形成（病例一为后叶，病例二为前后叶）。病理研究显示，病例一为二尖瓣脱垂及既往感染性心内膜炎迹象，另一例为风湿性病变。