肥厚型心肌病伴收缩期前向运动患者二尖瓣置换术的保守治疗方法——病例报告
Conservative approach to mitral valve replacement in hypertrophic cardiomyopathy with systolic anterior motion - a case report.
作者信息
Suder Bogdan, Bartus Krzysztof, Szymoński Krzysztof, Wasilewski Grzegorz, Sadowski Jerzy, Kapelak Boguslaw
机构信息
Department of Cardiovascular Surgery and Transplantology, Jagiellonian University, JP II Hospital, Krakow, Poland.
出版信息
Kardiochir Torakochirurgia Pol. 2015 Dec;12(4):345-7. doi: 10.5114/kitp.2015.56786. Epub 2015 Dec 30.
Abstract
The authors report the case of a 60-year-old patient with hypertrophic cardiomyopathy (HCM), systolic anterior motion (SAM), and high gradient in the left ventricular outflow tract (LVOT) who underwent surgical treatment. During the surgery, myomectomy of the septum was performed using the Morrow method: despite the persisting SAM and increased LVOT gradients, the mitral valve was not replaced. The case study presents a conservative approach to mitral valve replacement during HCM surgery.
摘要
作者报告了一例60岁患有肥厚型心肌病（HCM）、伴有收缩期前向运动（SAM）以及左心室流出道（LVOT）高压力阶差的患者接受手术治疗的病例。手术过程中，采用Morrow方法进行了室间隔肌瘤切除术：尽管SAM持续存在且LVOT压力阶差增加，但未置换二尖瓣。该病例研究展示了肥厚型心肌病手术中二尖瓣置换的保守方法。
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