Zavaleta D, Ovseyevitz J, Attié F, Buendía A, Múñoz-Castellanos L, Esquivel-Avila J
Departamento de Cardiología Pediátrica, Instituto Nacional de Cardiología Ignacio Chávez, México.
Arch Inst Cardiol Mex. 1987 May-Jun;57(3):235-9.
Two children with tetralogy of Fallot and supravalvular mitral membrane are reported. In both, the diagnosis was established before surgery. In the first case, clinical data suggested the associated mitral lesion and a two-dimensional echocardiogram demonstrated a supravalvular membrane. In the second patient, mitral obstruction was diagnosed by Doppler echocardiography and the supravalvular membrane was visualized by means of the angiographic study. Despite the rare association of both malformation, the importance of its clinical recognition is mainly related to the surgical correction of both lesions.
报告了两名患有法洛四联症和二尖瓣瓣上膜的儿童。在这两例中,手术前均已确诊。第一例中,临床资料提示存在相关的二尖瓣病变,二维超声心动图显示有瓣上膜。第二例患者,通过多普勒超声心动图诊断出二尖瓣梗阻,通过血管造影研究观察到瓣上膜。尽管这两种畸形关联罕见,但其临床识别的重要性主要与这两种病变的手术矫正有关。