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老年患者二尖瓣环钙化伴二尖瓣收缩期前向运动

Systolic anterior motion of mitral valve with calcified annulus in octogenarians.

作者信息

Parissis Haralabos, Hamid Umar Imran, Jeganathan Reubendra, Graham Alastair

机构信息

Department of Cardiothoracic Surgery, Royal Victoria Hospital, Belfast, UK.

出版信息

Asian Cardiovasc Thorac Ann. 2013 Aug;21(4):456-9. doi: 10.1177/0218492312455808. Epub 2013 Jul 1.

DOI:10.1177/0218492312455808
PMID:24570531
Abstract

Systolic anterior motion of the mitral leaflet causing left ventricular outflow tract obstruction is commonly seen in hypertrophic cardiomyopathy and also in patients with advanced mitral valve disease with excessive anterior leaflet tissue or a reduced aortic-mitral angle. We describe 2 octogenarians who presented with systolic mitral leaflet anterior motion in advanced mitral valve disease with severe mitral annular calcification and associated asymmetrical septal hypertrophy.

摘要

二尖瓣叶收缩期前向运动导致左心室流出道梗阻常见于肥厚型心肌病,也见于二尖瓣疾病晚期且前叶组织过多或主动脉-二尖瓣夹角减小的患者。我们描述了2例八旬老人,他们在二尖瓣疾病晚期出现二尖瓣叶收缩期前向运动,伴有严重的二尖瓣环钙化及相关的不对称性室间隔肥厚。

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