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原发性瓣膜间歇性主动脉瓣关闭不全所致危及生命事件的外科治疗:病例报告

Surgical management of life threatening events caused by intermittent aortic insufficiency in a native valve: case report.

作者信息

Martin Mary H, Perry Stanton B, Prochazka James V, Hanley Frank L, Silverman Norman H

机构信息

Department of Pediatric Cardiology, Lucile Packard Children's Hospital, Stanford University Medical Center, 750 Welch Road - Suite 305, Palo Alto, California 94304, USA.

出版信息

J Cardiothorac Surg. 2010 Oct 29;5:94. doi: 10.1186/1749-8090-5-94.

DOI:10.1186/1749-8090-5-94
PMID:21034457
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2989957/
Abstract

We describe a case of a patient admitted with apparent life threatening events characterized by hypotension and bradycardia. The patient was ultimately found to have intermittent severe aortic insufficiency. Upon surgical exploration, abnormalities were discovered in the aortic valve, which had a small left coronary cusp with absence of the nodulus of Arantius. Following surgical repair of the valve, aimed at preventing the small cusp from becoming stuck in the open position, the patient has remained episode free for over one year.

摘要

我们描述了一例以低血压和心动过缓为特征的疑似危及生命事件而入院的患者。该患者最终被发现患有间歇性严重主动脉瓣关闭不全。手术探查时,在主动脉瓣发现异常,其左冠状动脉瓣叶较小且无阿兰蒂结节。针对防止小瓣叶卡在开放位置进行瓣膜手术修复后,该患者已超过一年未再发作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4797/2989957/bb96f12955e5/1749-8090-5-94-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4797/2989957/6ae30105feaf/1749-8090-5-94-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4797/2989957/bb96f12955e5/1749-8090-5-94-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4797/2989957/6ae30105feaf/1749-8090-5-94-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4797/2989957/bb96f12955e5/1749-8090-5-94-2.jpg

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本文引用的文献

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Morphology and function of the bicuspid aortic valve with and without coarctation of the aorta in the young.年轻患者中伴有和不伴有主动脉缩窄的二叶式主动脉瓣的形态学与功能
Am J Cardiol. 2006 Oct 15;98(8):1096-102. doi: 10.1016/j.amjcard.2006.05.035. Epub 2006 Aug 31.
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In vivo analysis of aortic valve dynamics by transesophageal 3-dimensional echocardiography with high temporal resolution.
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SIDS, ALTE, apnea, and the use of home monitors.
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Prevalence of aortic valve prolapse with bicuspid aortic valve and its relation to aortic regurgitation: a cross-sectional echocardiographic study.二叶式主动脉瓣合并主动脉瓣脱垂的患病率及其与主动脉瓣反流的关系:一项横断面超声心动图研究。
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