Orozco Vinasco D M, Abello Sánchez M, Osorio Esquivel J E
Departamento de Anestesia, Fundación Clínica Shaio, Bogotá, Colombia.
Rev Esp Anestesiol Reanim. 2013 Aug-Sep;60(7):403-6. doi: 10.1016/j.redar.2012.05.024. Epub 2012 Jun 30.
Evaluation of the competence of a mitral valve can often be impossible in the clinical setting of a giant atrial myxoma. A 50-year-old woman with severe mitral regurgitation in the post-bypass period following a myxoma resection was managed with a mitral valve replacement. The absence of mitral insufficiency in the preoperative examination should not be taken as a reliable predictor of normal valve function. So herein, we discuss the role of the intraoperative echocardiographic examination, the underlying mechanisms, and the proposed management of severe mitral regurgitation following the resection of an atrial myxoma.
在巨大心房黏液瘤的临床情况下，通常无法评估二尖瓣的功能。一名50岁女性在黏液瘤切除术后的体外循环后出现严重二尖瓣反流，接受了二尖瓣置换术。术前检查中未发现二尖瓣关闭不全不应被视为瓣膜功能正常的可靠预测指标。因此，在此我们讨论术中超声心动图检查的作用、潜在机制以及心房黏液瘤切除术后严重二尖瓣反流的建议处理方法。
