Roberts William C, Grayburn Paul A, Guileyardo Joseph M, Stoler Robert C
Baylor Heart and Vascular Institute, the Departments of Internal Medicine (Division of Cardiology) and Pathology, Baylor University Medical Center, Dallas, Texas.
Baylor Heart and Vascular Institute, the Departments of Internal Medicine (Division of Cardiology) and Pathology, Baylor University Medical Center, Dallas, Texas.
Am J Cardiol. 2017 Apr 15;119(8):1284-1287. doi: 10.1016/j.amjcard.2016.11.069. Epub 2017 Jan 25.
Described herein is an 84-year-old woman, the oldest reported, with severe pulmonic stenosis who underwent a highly successful pulmonic valvotomy at age 77 and highly unsuccessfully attempted percutaneous pulmonic valve implantation at age 84. During the 84 years she developed nearly all clinical and morphologic consequences of pulmonic stenosis, including heavy calcification of the pulmonic valve, heavy calcification of the tricuspid valve annulus, severe right ventricular wall thickening without ventricular cavity dilation, aneurysm of the pulmonary truck, multiple focal ventricular wall scars without narrowing of the epicardial coronary arteries, wall thickening and luminal narrowing of the intramural coronary arteries, and extremely low 12-lead QRS electrocardiographic voltage.
本文报道了一位84岁的女性，据报道是年龄最大的严重肺动脉瓣狭窄患者，她在77岁时成功接受了肺动脉瓣切开术，而在84岁时经皮肺动脉瓣植入术尝试失败。在这84年中，她出现了几乎所有肺动脉瓣狭窄的临床和形态学后果，包括肺动脉瓣重度钙化、三尖瓣环重度钙化、右心室壁重度增厚且无心室腔扩张、肺动脉干动脉瘤、多处局灶性心室壁瘢痕且心外膜冠状动脉无狭窄、壁内冠状动脉壁增厚和管腔狭窄，以及12导联心电图QRS波电压极低。
