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以卒中为表现的主动脉瓣:一例病例报告及文献综述

Aortic Valve Presenting with a Stroke: A case report and review of the literature.

作者信息

Alkuwaiti Feras A, Elghoneimy Yasser, Ghazal Sami

机构信息

College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

Department of Surgery, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

出版信息

Sultan Qaboos Univ Med J. 2018 Nov;18(4):e537-e540. doi: 10.18295/squmj.2018.18.04.019. Epub 2019 Mar 28.

DOI:10.18295/squmj.2018.18.04.019
PMID:30988977
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6443285/
Abstract

originating from the aortic valve are rare. We report a 40-year-old male patient who presented to the King Fahd Hospital of the University, Khobar, Saudi Arabia, in 2017 with a stroke. Transoesophageal echocardiography indicated a mobile mass measuring 6 × 2 mm attached to the right coronary cusp of the aortic valve and a mobile interatrial with a small patent (PFO). The patient underwent surgical excision of the mass and direct closure of the PFO. Histopathology confirmed the mass to be a . Despite their rarity, the recognition and treatment of valvular is very important; moreover, clinicians should be aware that affected patients may present with an embolic stroke.

摘要

源自主动脉瓣的(病变)较为罕见。我们报告一例40岁男性患者,2017年因中风就诊于沙特阿拉伯胡拜尔法赫德国王大学医院。经食管超声心动图显示一个6×2毫米的可移动肿物附着于主动脉瓣右冠状动脉瓣叶,以及一个可移动的房间隔并有一个小的卵圆孔未闭(PFO)。患者接受了肿物手术切除及PFO直接闭合术。组织病理学证实该肿物为(此处原文缺失相关具体病变名称)。尽管它们很罕见,但对瓣膜(病变)的识别和治疗非常重要;此外,临床医生应意识到受影响的患者可能会出现栓塞性中风。

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本文引用的文献

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Heart Surg Forum. 2017 Apr 30;20(2):E066-E068. doi: 10.1532/hsf.1772.
2
Cardiac tumors: echo assessment.心脏肿瘤:超声评估
Echo Res Pract. 2016 Dec;3(4):R65-R77. doi: 10.1530/ERP-16-0035. Epub 2016 Sep 6.
3
A giant myxoma originating from the aortic valve causing severe left ventricular tract obstruction: a case report and literature review.一例源于主动脉瓣的巨大黏液瘤导致严重左心室流出道梗阻:病例报告及文献复习
World J Surg Oncol. 2015 Apr 16;13:151. doi: 10.1186/s12957-015-0575-9.
4
Aortic valve myxoma at the extreme age: a review of literature.高龄患者的主动脉瓣黏液瘤:文献综述
BMJ Case Rep. 2014 Mar 18;2014:bcr2013202689. doi: 10.1136/bcr-2013-202689.
5
Myxoma of the aortic valve.主动脉瓣黏液瘤
Interact Cardiovasc Thorac Surg. 2012 Sep;15(3):560-2. doi: 10.1093/icvts/ivs117. Epub 2012 May 22.
6
A rare case of aortic valve myxoma: easy to confuse with papillary fibroelastoma.罕见的主动脉瓣黏液瘤病例:易与乳头状弹力纤维瘤混淆。
Korean Circ J. 2012 Apr;42(4):281-3. doi: 10.4070/kcj.2012.42.4.281. Epub 2012 Apr 26.
7
The pivotal role of echocardiography in cardiac sources of embolism.超声心动图在心脏栓塞源中的关键作用。
Eur J Echocardiogr. 2011 Oct;12(10):i25-31. doi: 10.1093/ejechocard/jer122.
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Images in cardiothoracic surgery. Unusual complication of aortic valve grape-like myxoma.心胸外科影像。主动脉瓣葡萄状黏液瘤的罕见并发症。
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