Shetty Ranjan K, Vivek G, Naha Kushal, Rau N R, Nayak K
Department of Cardiology, Kasturba Medical College, Manipal, Karnataka, India.
BMJ Case Rep. 2013 May 3;2013:bcr2012008032. doi: 10.1136/bcr-2012-008032.
We describe a 34-year-old man with an ostium secundum atrial septal defect, Ebstein's anomaly of the tricuspid valve with severe tricuspid regurgitation, congenital valvular pulmonary stenosis, rheumatic mitral stenosis and regurgitation with aortic regurgitation, who presented with decompensated heart failure after developing atrial fibrillation. The complex haemodynamic interplay of these lesions is also discussed.
我们描述了一名34岁男性,患有继发孔型房间隔缺损、三尖瓣埃布斯坦畸形伴严重三尖瓣反流、先天性瓣膜性肺动脉狭窄、风湿性二尖瓣狭窄及反流合并主动脉反流,该患者在发生心房颤动后出现失代偿性心力衰竭。文中还讨论了这些病变复杂的血流动力学相互作用。