Marques P R, Oliveira Júnior W, Pereira R, de Sá D T, Calado I, Santos F L
Arq Bras Cardiol. 1989 Jan;52(1):43-6.
A 32 year old female patient, documented clinically and echocardiographically to have a competent prolapse of the mitral valve (MVP), developed a sudden ischemic cerebrovascular accident (CVA), suggestive of embolism. There were no predisposing factors to cerebrovascular disease, except for past use of contraceptive pills. Tomographic study disclosed an ischemic right-parietal "wedge-shaped" defect. The patients's recovery, with physiotherapy and AAS, was satisfactory. The authors discuss the association of MVP and CVA, considering physiopathogenic, prophylactic and therapeutic aspects, emphasizing the need to consider MVP as a cause of CVA in young adults.
一名32岁女性患者，临床及超声心动图检查证实患有二尖瓣脱垂（MVP），出现了突发缺血性脑血管意外（CVA），提示为栓塞。除过去使用避孕药外，无脑血管疾病的诱发因素。断层扫描研究发现右侧顶叶有一个缺血性“楔形”缺损。患者经物理治疗和抗血小板聚集药物治疗后恢复情况良好。作者从病理生理、预防和治疗等方面讨论了MVP与CVA的关联，强调在年轻成年人中需要将MVP视为CVA的一个病因。
