Tota Antonio, Carbone Carmine, Caldarola Pasquale
U.O.C. di Cardiologia-UTIC, Ospedale M. Sarcone, Terlizzi (BA), Italy.
G Ital Cardiol (Rome). 2010 Oct;11(10):789-91.
We describe the case of a 74-year-old patient with structural valve deterioration of a Carpentier-Edwards porcine mitral valve. He was referred to our institution for a murmur noted about 1 week before. Transthoracic echocardiography showed the presence of severe mitral regurgitation, without disclosing the mechanism of failure. A tear cusp was identified with transesophageal echocardiography that resulted in a lack of coaptation of the leaflets causing mitral insufficiency. The diagnosis was confirmed at surgery.
我们描述了一例74岁患者，其Carpentier-Edwards猪二尖瓣出现结构瓣膜退化。他在大约1周前因发现杂音被转诊至我院。经胸超声心动图显示存在严重二尖瓣反流，但未揭示瓣膜功能障碍的机制。经食管超声心动图发现一个瓣叶撕裂，导致瓣叶对合不良，引起二尖瓣关闭不全。手术确诊了该诊断。
