Guner Ahmet, Kılıcgedik Alev, Kahyaoglu Muzaffer, Celik Mehmet, Kahveci Gokhan
Department of Cardiology, Kartal Kosuyolu Training & Research Hospital, University of Health Sciences, Istanbul, Turkey.
Echocardiography. 2017 Nov;34(11):1712-1713. doi: 10.1111/echo.13728. Epub 2017 Oct 26.
A 71-year-old male with a medical history of hypertension was admitted to emergency department with hypertensive pulmonary edema. The patient appeared anxious and diaphoretic, and physical examination revealed tachypnea, crepitant rales in the both lungs and a systolic ejection murmur at the right sternal border, radiating to the both carotid arteries. The electrocardiography showed sinus tachycardia with indications of left ventricle hypertrophy Before the aortic valve surgery, transesophageal echocardiography (TEE) was performed for detailed evaluation of the aortic valve. Two-dimensional TEE showed mild tricuspid valve regurgitation and only two of three leaflets of the tricuspid valve at a time.
一名71岁男性，有高血压病史，因高血压性肺水肿入住急诊科。患者表现为焦虑、多汗，体格检查发现呼吸急促、双肺湿啰音以及右胸骨缘收缩期喷射性杂音，向双侧颈动脉传导。心电图显示窦性心动过速，提示左心室肥厚。在进行主动脉瓣手术前，行经食管超声心动图（TEE）以详细评估主动脉瓣。二维TEE显示轻度三尖瓣反流，且三尖瓣的三个瓣叶每次仅见两个。
