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二尖瓣动脉瘤破裂:急性呼吸困难的罕见原因。

Ruptured mitral valve aneurysm: an uncommon cause of acute dyspnoea.

作者信息

Tewari Satyendra, Moorthy Nagaraja, Sinha Nakul

机构信息

Department of Cardiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India. stewari_sgpgi.ac.in

出版信息

Echocardiography. 2010 Nov;27(10):E119-21. doi: 10.1111/j.1540-8175.2010.01185.x.

DOI:10.1111/j.1540-8175.2010.01185.x
PMID:20545989
Abstract

The mitral valve aneurysm is a rare disease that is usually induced by infective endocarditis. While the mechanism of the development of this lesion is unclear, complications such as perforation can occur and lead to significant mitral regurgitation. We describe a patient presented with ruptured aneurysm of anterior mitral leaflet resulting in acute severe mitral regurgitation that was confirmed by transthoracic and transesophageal echocardiography. Early detection and prompt intervention are important to prevent the complications of valvular aneurysms, which include rupture, embolism, and endocarditis. This report emphasizes the role of echocardiography in evaluating the mitral valve aneurysms and its complications.

摘要

二尖瓣动脉瘤是一种罕见疾病,通常由感染性心内膜炎引起。虽然这种病变的发生机制尚不清楚,但可能会出现诸如穿孔等并发症,并导致严重的二尖瓣反流。我们描述了一名患者,其前叶二尖瓣动脉瘤破裂导致急性严重二尖瓣反流,经胸和经食管超声心动图证实。早期发现和及时干预对于预防瓣膜动脉瘤的并发症(包括破裂、栓塞和心内膜炎)很重要。本报告强调了超声心动图在评估二尖瓣动脉瘤及其并发症中的作用。

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引用本文的文献

1
Mitral Valve Aneurysm With Severe Mitral Regurgitation and Pseudoaneurysm Formation: A Rare Complication of Infective Endocarditis.二尖瓣动脉瘤伴严重二尖瓣反流及假性动脉瘤形成:感染性心内膜炎的一种罕见并发症。
Cureus. 2025 Apr 18;17(4):e82491. doi: 10.7759/cureus.82491. eCollection 2025 Apr.
2
Late perforation of anterior mitral leaflet after surgical resection of the subaortic membrane.主动脉瓣下隔膜手术切除后二尖瓣前叶迟发性穿孔
J Cardiol Cases. 2015 Sep 9;12(6):199-201. doi: 10.1016/j.jccase.2015.08.010. eCollection 2015 Dec.
3
Clinical and echocardiographic evaluation of mitral valve aneurysms: a retrospective, single center study.
临床和超声心动图评估二尖瓣动脉瘤:一项回顾性、单中心研究。
Int J Cardiovasc Imaging. 2014 Mar;30(3):535-41. doi: 10.1007/s10554-014-0365-4. Epub 2014 Jan 14.