Ludman P, Yacoub M, Dancy M
Central Middlesex Hospital, London, UK.
Postgrad Med J. 1990 Oct;66(780):834-7. doi: 10.1136/pgmj.66.780.834.
A 22 year old man developed symptoms of left ventricular failure secondary to atrial fibrillation and congenital mitral regurgitation. After operation for mitral valve repair he was unable to be successfully weaned from cardiopulmonary bypass and this was ascribed to poor left ventricular function. He therefore underwent emergency cardiac transplantation but again was unable to be weaned from bypass. At post-mortem examination a previously undiagnosed aortic coarctation was revealed. The presentation of occult aortic coarctation is discussed, and its association with congenital mitral valve abnormalities reviewed.
一名22岁男性因心房颤动和先天性二尖瓣反流继发左心室衰竭症状。二尖瓣修复手术后，他无法成功脱离体外循环，这归因于左心室功能不佳。因此，他接受了紧急心脏移植，但再次无法脱离体外循环。尸检时发现了先前未被诊断出的主动脉缩窄。文中讨论了隐匿性主动脉缩窄的表现，并回顾了其与先天性二尖瓣异常的关联。
