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二尖瓣置换术后经瓣二尖瓣反流：一种诊断难题。

Transvalvular mitral regurgitation following mitral valve replacement a diagnostic dilemma.

作者信息

Dinesh Kumar U S, Nareppa Umesh, Shetty Shyam Prasad, Wali Murugesh

机构信息

Department of Cardiac Thoracic and Vascular Anesthesia, JSS Superspeciality Hospital, Mysore, Karnataka, India.

出版信息

Ann Card Anaesth. 2015 Oct-Dec;18(4):584-6. doi: 10.4103/0971-9784.166476.

DOI:10.4103/0971-9784.166476
PMID:26440249
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4881680/
Abstract

After mitral valve replacement with a prosthetic valve, the valve should be competent and there should not be any residual prosthetic valve regurgitation. Transvalvular residual prosthetic valve regurgitation are difficult to diagnose and quantify. we are reporting interesting TEE images as a diagnostic dilemma in a case of transvalvular mitral regurgitation following mitral valve replacement secondary to entrapment of sub-valvular apparatus in a Chitra mechanical heart valve.

摘要

在进行人工心脏瓣膜二尖瓣置换术后，瓣膜应功能正常，且不应存在任何人工瓣膜残余反流。经瓣膜人工瓣膜残余反流难以诊断和量化。我们报告了一些有趣的经食管超声心动图（TEE）图像，这些图像显示了一例二尖瓣置换术后因Chitra机械心脏瓣膜的瓣下结构卡压导致经瓣膜二尖瓣反流病例中的诊断难题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bf7/4881680/262256dbda5f/ACA-18-584-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bf7/4881680/f508664c4a2a/ACA-18-584-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bf7/4881680/5c2e66144c0d/ACA-18-584-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bf7/4881680/262256dbda5f/ACA-18-584-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bf7/4881680/f508664c4a2a/ACA-18-584-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bf7/4881680/5c2e66144c0d/ACA-18-584-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bf7/4881680/262256dbda5f/ACA-18-584-g003.jpg

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本文引用的文献

1
Recommendations for evaluation of prosthetic valves with echocardiography and doppler ultrasound: a report From the American Society of Echocardiography's Guidelines and Standards Committee and the Task Force on Prosthetic Valves, developed in conjunction with the American College of Cardiology Cardiovascular Imaging Committee, Cardiac Imaging Committee of the American Heart Association, the European Association of Echocardiography, a registered branch of the European Society of Cardiology, the Japanese Society of Echocardiography and the Canadian Society of Echocardiography, endorsed by the American College of Cardiology Foundation, American Heart Association, European Association of Echocardiography, a registered branch of the European Society of Cardiology, the Japanese Society of Echocardiography, and Canadian Society of Echocardiography.超声心动图和多普勒超声评估人工瓣膜的建议：美国超声心动图学会指南与标准委员会及人工瓣膜特别工作组的报告，与美国心脏病学会心血管影像委员会、美国心脏协会心脏影像委员会、欧洲心脏病学会注册分支欧洲超声心动图协会、日本超声心动图协会和加拿大超声心动图协会联合制定，得到美国心脏病学会基金会、美国心脏协会、欧洲心脏病学会注册分支欧洲超声心动图协会、日本超声心动图协会和加拿大超声心动图协会认可。
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Value and limitations of transesophageal echocardiography in assessment of mitral valve prostheses.经食管超声心动图在评估二尖瓣人工瓣膜中的价值与局限性
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