Chen Jennifer, Kronzon Itzhak
Lenox Hill Hospital, Division of Cardiovascular Disease, New York, New York.
Echocardiography. 2012 Nov;29(10):E258-60. doi: 10.1111/j.1540-8175.2012.01802.x. Epub 2012 Sep 11.
An 86-year-old man with severe symptomatic aortic stenosis underwent an aortic valve replacement. A transesophageal echocardiogram (TEE) was performed during the surgery and demonstrated mild mitral regurgitation (MR). The patient's symptoms persisted despite surgery, and subsequent TEE demonstrated prolapse of the posteromedial commissural leaflet, with evidence of a severe, very eccentric MR jet which was directed laterally and superiorly. The jet was almost missed in most imaging planes and could finally be exposed by withdrawing the probe to the level of the aortic valve and left atrial appendage.
一名86岁有严重症状性主动脉瓣狭窄的男性接受了主动脉瓣置换术。手术期间进行了经食管超声心动图（TEE）检查，显示有轻度二尖瓣反流（MR）。尽管进行了手术，患者的症状仍持续存在，随后的TEE显示后内侧连合小叶脱垂，有严重、非常偏心的MR血流束证据，该血流束指向外侧和上方。在大多数成像平面中该血流束几乎未被发现，最终通过将探头回撤至主动脉瓣和左心耳水平才得以显示。
