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二尖瓣置换术作为孤立性主动脉瓣下隔膜的罕见病因。

Mitral valve replacement as unusual cause of discrete sub-aortic membrane.

作者信息

Boutayeb A, Mrini F El, Bendagha N, Bensouda A, Moughil S

机构信息

Department of Cardiovascular Surgery Ibn Sina Hospital, Rabat, Morocco.

Department of Cardiovascular Surgery Ibn Sina Hospital, Rabat, Morocco.

出版信息

Heart Lung Circ. 2015 Jan;24(1):e4-6. doi: 10.1016/j.hlc.2014.09.003. Epub 2014 Sep 26.

DOI:10.1016/j.hlc.2014.09.003
PMID:25306499
Abstract

We report the case of 50 year-old woman who presented with left ventricle outflow tract obstruction with discrete sub-aortic membrane 20 years following mitral valve replacement and tricuspid valve annuloplasty. We aim through this case, on one hand to report this unusual entity and on the other hand to discuss the underlying mechanisms as well as the therapeutic solutions.

摘要

我们报告了一例50岁女性患者的病例,该患者在二尖瓣置换术和三尖瓣环成形术后20年出现左心室流出道梗阻,并伴有离散性主动脉瓣下隔膜。我们通过该病例,一方面报告这一罕见情况,另一方面讨论其潜在机制及治疗方案。

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1
Mitral valve replacement as unusual cause of discrete sub-aortic membrane.二尖瓣置换术作为孤立性主动脉瓣下隔膜的罕见病因。
Heart Lung Circ. 2015 Jan;24(1):e4-6. doi: 10.1016/j.hlc.2014.09.003. Epub 2014 Sep 26.
2
Left ventricular outflow obstruction after mitral valve replacement preserving native anterior leaflet.保留自体前叶的二尖瓣置换术后左心室流出道梗阻
Ann Thorac Surg. 2006 Aug;82(2):735-7. doi: 10.1016/j.athoracsur.2005.10.006.
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Transaortic correction of systolic anterior motion of the mitral leaflet after aortic and mitral valve replacement.主动脉瓣和二尖瓣置换术后二尖瓣前叶收缩期前向运动的经主动脉纠正。
Ann Thorac Surg. 2010 Apr;89(4):1287-8. doi: 10.1016/j.athoracsur.2009.08.061.
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[Obstruction of the left ventricular outflow tract due to an anomalous muscle bundle and an accessory tissue on the mitral valve associated with mitral stenosis].[因异常肌束和二尖瓣上的附属组织导致左心室流出道梗阻并伴有二尖瓣狭窄]
Nihon Kyobu Geka Gakkai Zasshi. 1994 Apr;42(4):622-8.
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Dynamic left-ventricular tract outflow obstruction: a late complication of mitral valve replacement.动态性左心室流出道梗阻:二尖瓣置换术后的晚期并发症。
Cardiology. 1990;77(6):466-71. doi: 10.1159/000174639.
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Acquired discrete subaortic stenosis late after mitral valve replacement.二尖瓣置换术后晚期获得性离散性主动脉瓣下狭窄
Indian Heart J. 2016 Sep;68 Suppl 2(Suppl 2):S105-S109. doi: 10.1016/j.ihj.2016.01.001. Epub 2016 Jan 20.
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Left ventricular outflow tract obstruction from mitral prosthesis.二尖瓣人工瓣膜导致的左心室流出道梗阻
Int J Cardiol. 1991 Mar;30(3):363-4. doi: 10.1016/0167-5273(91)90020-p.
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[A case of partial atrioventricular canal with discrete subvalvular aortic stenosis worsened 3 years after the replacement of the mitral valve].[一例部分型房室通道合并孤立性瓣膜下主动脉狭窄在二尖瓣置换术后3年病情加重]
Kyobu Geka. 1994 Mar;47(3):224-7.
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Left ventricular outflow tract: intraoperative measurement and changes caused by mitral valve surgery.左心室流出道:术中测量及二尖瓣手术引起的变化。
J Am Soc Echocardiogr. 2012 Feb;25(2):166-72. doi: 10.1016/j.echo.2011.10.008. Epub 2011 Nov 10.
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An unusual cause of left ventricular outflow tract obstruction.左心室流出道梗阻的一种罕见病因。
Indian Heart J. 2015 Jul-Aug;67(4):395-6. doi: 10.1016/j.ihj.2015.02.015. Epub 2015 Mar 10.

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