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短暂性严重可逆性功能性二尖瓣反流:三维经食管视角

Transient severe reversible functional mitral regurgitation: a three-dimensional transoesophageal perspective.

作者信息

Labbe Vincent, Charlier Patrick, Brochet Eric, Iung Bernard, Vahanian Alec, Messika-Zeitoun David

机构信息

Cardiology Department, AP-HP, Bichat Hospital, 46 rue Henri Huchard, 75018 Paris, France.

出版信息

Eur J Echocardiogr. 2010 Apr;11(3):E3. doi: 10.1093/ejechocard/jep168. Epub 2009 Nov 12.

DOI:10.1093/ejechocard/jep168
PMID:19910317
Abstract

Mrs B, a 49-year-old female, was referred to our institution for severe mitral regurgitation. Transthoracic echocardiography showed only a moderate organic mitral regurgitation, but a transient severe reversible functional mitral regurgitation was observed during transoesophageal echocardiography (TEE). Three-dimensional TEE clearly demonstrated the functional nature of the regurgitation with a transient and sudden tenting of the mitral leaflets with a circular mitral annulus resulting in a total absence of leaflet coaptation.

摘要

B夫人,一名49岁女性,因严重二尖瓣反流被转诊至我院。经胸超声心动图仅显示中度器质性二尖瓣反流,但在经食管超声心动图(TEE)检查期间观察到短暂的严重可逆性功能性二尖瓣反流。三维TEE清楚地显示了反流的功能性本质,二尖瓣叶短暂突然膨出,二尖瓣环呈圆形,导致瓣叶完全无法对合。

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