Hussain Farrukh, Kashour Tarek S, Barac Ivan
Int J Cardiol. 2008 Dec 17;131(1):e28-30. doi: 10.1016/j.ijcard.2007.07.054.
Simultaneous valvular, pericardial and myocardial involvement from chronic rheumatic heart disease is a rare phenomenon. We describe a novel patient with simultaneous aortic stenosis, mitral stenosis, constrictive pericarditis and pathologic myocardial rheumatic involvement. Lessons and pitfalls of the catheterization hemodynamics for concomitant multivalvular disease and constrictive physiology are outlined. Echocardiographic, computed tomographic (CT) imaging and pathologic findings are presented for the pancardiac involvement in this case.
慢性风湿性心脏病同时累及瓣膜、心包和心肌是一种罕见现象。我们描述了一位同时患有主动脉瓣狭窄、二尖瓣狭窄、缩窄性心包炎和病理性心肌风湿累及的新病例。概述了合并多瓣膜疾病和缩窄性生理状态时心导管血流动力学检查的经验教训及陷阱。本文还展示了该病例全心累及的超声心动图、计算机断层扫描（CT）影像及病理检查结果。
