风湿性心脏病中的严重二尖瓣环钙化：一种罕见表现。
Severe mitral annular calcification in rheumatic heart disease: A rare presentation.
作者信息
Vijayvergiya Rajesh, Vaiphei Kim, Rana Sandeep S
机构信息
Rajesh Vijayvergiya, Department of Cardiology, Post Graduate Institute of Medical Education and Research, Chandigarh 160 012, India.
出版信息
World J Cardiol. 2012 Mar 26;4(3):87-9. doi: 10.4330/wjc.v4.i3.87.
Abstract
Severe mitral annular calcification (MAC) is frequently seen in patients with advanced age and chronic kidney disease, but it is rare in rheumatic heart disease (RHD). We hereby report a case of 45-year-old female with chronic RHD, who had severe MAC and mitral regurgitation. Fluoroscopy revealed a "crown"-like severe calcification of the mitral annulus. Autopsy of the heart revealed a calcified posterior mitral annulus, fused commissures, and calcified nodules at the atrial aspect of the mitral valve.
摘要
严重二尖瓣环钙化（MAC）常见于老年和慢性肾病患者，但在风湿性心脏病（RHD）中罕见。我们在此报告一例45岁患有慢性RHD的女性患者，她有严重的MAC和二尖瓣反流。荧光透视显示二尖瓣环呈“冠状”严重钙化。心脏尸检显示二尖瓣后环钙化、瓣叶连合处融合以及二尖瓣心房面有钙化结节。
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