重度主动脉瓣关闭不全患者行主动脉瓣置换术后重度二尖瓣反流立即改善
Immediate Improvement in Severe Mitral Regurgitation After Aortic Valve Replacement for Severe Aortic Insufficiency.
作者信息
Zeeshan Ahmad, Zhu Mojun, Elefteriades John A
机构信息
Aortic Institute at Yale-New Haven Hospital, Yale University School of Medicine, New Haven, Connecticut, USA; Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Aortic Institute at Yale-New Haven Hospital, Yale University School of Medicine, New Haven, Connecticut, USA.
出版信息
Aorta (Stamford). 2016 Jun 1;4(3):91-94. doi: 10.12945/j.aorta.2016.15.035. eCollection 2016 Jun.
Abstract
A 57-year-old male with ascending aortic aneurysm, severe aortic regurgitation, and severe mitral regurgitation (MR) underwent ascending aortic replacement and aortic valve replacement. MR in this patient with normal mitral valve morphology was considered secondary to aortic valve incompetency. Consequently, a surgical approach to restore aortic valve function was adopted with successful MR resolution. This case report demonstrates the possibility of reversing early functional mitral regurgitation without surgically approaching the mitral valve.
摘要
一名57岁男性，患有升主动脉瘤、严重主动脉瓣反流和严重二尖瓣反流（MR），接受了升主动脉置换和主动脉瓣置换术。该患者二尖瓣形态正常，其MR被认为是继发于主动脉瓣功能不全。因此，采取了恢复主动脉瓣功能的手术方法，成功解决了MR问题。本病例报告表明，在不手术处理二尖瓣的情况下，逆转早期功能性二尖瓣反流是有可能的。
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本文引用的文献
1
Functional mitral regurgitation: from normal to pathological anatomy of mitral valve.功能性二尖瓣反流：从正常到二尖瓣病理解剖。
Int J Cardiol. 2013 Mar 10;163(3):242-248. doi: 10.1016/j.ijcard.2011.11.023. Epub 2011 Dec 20.
2
Respective prevalence of the different carpentier classes of mitral regurgitation: a stepping stone for future therapeutic research and development.不同卡彭铁尔二尖瓣反流分级的各自患病率：未来治疗研究与开发的垫脚石。
J Card Surg. 2011 Jul;26(4):385-92. doi: 10.1111/j.1540-8191.2011.01274.x.
3
Imbalanced chordal force distribution causes acute ischemic mitral regurgitation: mechanistic insights from chordae tendineae force measurements in pigs.弦索力分布失衡导致急性缺血性二尖瓣反流：来自猪腱索力测量的机制性见解。
J Thorac Cardiovasc Surg. 2005 Mar;129(3):525-31. doi: 10.1016/j.jtcvs.2004.07.044.
4
Ischemia in three left ventricular regions: Insights into the pathogenesis of acute ischemic mitral regurgitation.左心室三个区域的缺血：对急性缺血性二尖瓣反流发病机制的见解。
J Thorac Cardiovasc Surg. 2003 Mar;125(3):559-69. doi: 10.1067/mtc.2003.43.
5
Mechanistic insights into posterior mitral leaflet inter-scallop malcoaptation during acute ischemic mitral regurgitation.急性缺血性二尖瓣反流时二尖瓣后叶扇贝间对合不良的机制洞察
Circulation. 2002 Sep 24;106(12 Suppl 1):I40-I45.
6
Should a regurgitant mitral valve be replaced simulataneously with a stenotic aortic valve?二尖瓣反流时是否应同时置换狭窄的主动脉瓣？
Tex Heart Inst J. 2000;27(4):350-5.
7
Early systolic mitral leaflet "loitering" during acute ischemic mitral regurgitation.急性缺血性二尖瓣反流时的早期收缩期二尖瓣叶“滞留”
J Thorac Cardiovasc Surg. 1998 Aug;116(2):193-205. doi: 10.1016/s0022-5223(98)70117-5.
8
Improvement in mitral regurgitation after aortic valve replacement.主动脉瓣置换术后二尖瓣反流的改善。
Am J Cardiol. 1997 Sep 15;80(6):741-5. doi: 10.1016/s0002-9149(97)00506-7.
9
Mild mitral insufficiency is a marker of impaired left ventricular performance in aortic stenosis.轻度二尖瓣关闭不全是主动脉瓣狭窄时左心室功能受损的一个标志。
J Am Coll Cardiol. 1989 Mar 15;13(4):796-803. doi: 10.1016/0735-1097(89)90218-0.
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