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间歇性、非周期性重度机械主动脉瓣反流。

Intermittent, non cyclic severe mechanical aortic valve regurgitation.

作者信息

Choi Jong Hyun, Choi Jung Hyun, Song Seunghwan, Lee Myung-Yong

机构信息

Division of Cardiology, Pusan National University Hospital, Busan, Korea.

Division of Cardiac Surgery, Pusan National University Hospital, Busan, Korea.

出版信息

J Cardiovasc Ultrasound. 2013 Dec;21(4):189-91. doi: 10.4250/jcu.2013.21.4.189. Epub 2013 Dec 27.

DOI:10.4250/jcu.2013.21.4.189
PMID:24459568
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3894372/
Abstract

Mechanical aortic prosthesis dysfunction can result from thrombosis or pannus formation. We describe an unusual case of intermittent, non cyclic mechanical aortic prosthesis dysfunction due to pannus formation with thrombus in the absence of systolic restriction of disk excursion, that presented with intermittent severe aortic regurgitation.

摘要

机械性主动脉瓣假体功能障碍可由血栓形成或血管翳形成引起。我们描述了一例罕见的间歇性、非周期性机械性主动脉瓣假体功能障碍病例，该病例是由于血管翳形成并伴有血栓，而不存在瓣叶运动的收缩期受限，表现为间歇性严重主动脉瓣反流。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/474a/3894372/d1ae60c92cf2/jcu-21-189-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/474a/3894372/da4fb25f8d7f/jcu-21-189-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/474a/3894372/dac74e490522/jcu-21-189-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/474a/3894372/d1ae60c92cf2/jcu-21-189-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/474a/3894372/da4fb25f8d7f/jcu-21-189-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/474a/3894372/dac74e490522/jcu-21-189-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/474a/3894372/d1ae60c92cf2/jcu-21-189-g003.jpg

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本文引用的文献

1
Intermittent, noncyclic dysfunction of a mechanical aortic prosthesis by pannus formation.瓣周脓肿导致机械主动脉瓣间歇性、非周期性功能障碍。
J Am Soc Echocardiogr. 2010 Jan;23(1):107.e1-3. doi: 10.1016/j.echo.2009.07.003. Epub 2009 Sep 16.
2
Intermittent acute aortic regurgitation of a mechanical bileaflet aortic valve prosthesis: diagnosis and clinical implications.
Eur J Echocardiogr. 2009 May;10(3):446-9. doi: 10.1093/ejechocard/jen320. Epub 2008 Dec 13.
3
Cyclic intermittent aortic regurgitation of a mechanical bileaflet aortic valve prosthesis: diagnosis and clinical implications.机械双叶主动脉瓣假体的周期性间歇性主动脉反流：诊断及临床意义
J Am Soc Echocardiogr. 2007 Nov;20(11):1315.e5-8. doi: 10.1016/j.echo.2007.02.031. Epub 2007 Jun 27.
4
Intermittent acute aortic valve regurgitation: a case report of a prosthetic valve dysfunction.间歇性急性主动脉瓣反流：人工瓣膜功能障碍病例报告
Eur J Echocardiogr. 2008 Mar;9(2):291-3. doi: 10.1016/j.euje.2006.09.007.
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Dysfunction of an aortic prosthetic valve.主动脉人工瓣膜功能障碍。
Heart. 2005 Aug;91(8):1120. doi: 10.1136/hrt.2004.057174.
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Intermittent aortic regurgitation in a case of mechanical prosthesis dysfunction.机械瓣膜功能障碍病例中的间歇性主动脉瓣反流
Int J Cardiol. 2005 Jul 20;102(3):525-7. doi: 10.1016/j.ijcard.2004.06.013. Epub 2005 Jan 28.
7
Obstruction of St Jude Medical valves in the aortic position: histology and immunohistochemistry of pannus.主动脉位置圣犹达医疗瓣膜的阻塞：血管翳的组织学与免疫组织化学
J Thorac Cardiovasc Surg. 2003 Aug;126(2):401-7. doi: 10.1016/s0022-5223(03)00702-5.
8
Reoperations for acute prosthetic thrombosis and pannus: an assessment of rates, relationship and risk.急性人工瓣膜血栓形成和血管翳的再次手术：发生率、关系及风险评估
Eur J Cardiothorac Surg. 1999 Jul;16(1):74-80. doi: 10.1016/s1010-7940(99)00124-4.
9
Differentiating thrombus from pannus formation in obstructed mechanical prosthetic valves: an evaluation of clinical, transthoracic and transesophageal echocardiographic parameters.鉴别机械性人工瓣膜梗阻时的血栓与血管翳形成：临床、经胸及经食管超声心动图参数评估
J Am Coll Cardiol. 1998 Nov;32(5):1410-7. doi: 10.1016/s0735-1097(98)00385-4.