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[一种不寻常的舒张早期杂音:异常二尖瓣腱索的喀喇音]

[An unusual protodiastolic bruit: the click of an aberrant mitral cord].

作者信息

Jaeger M, Payot M, Norris M

出版信息

Arch Mal Coeur Vaiss. 1986 Nov;79(12):1806-9.

PMID:3105494
Abstract

An asymptomatic adult woman without clinical cardiac disease had an unusual early diastolic heart sound. All usual causes of this finding were excluded: it was not a delayed pulmonary component of the second heart sound, a mitral or tricuspid opening snap, an early diastolic third heart sound or a pericardial vibration. The only apparent cause was a left ventricular false tendon extending from the septal endocardium to the left ventricular free wall, demonstrated by 2D echocardiography. This type of aberrant intracardiac band has already been described but the possibility of early diastolic stretching of this structure giving rise to an abnormal early diastolic sound does not seem to have been previously reported.

摘要

一名无临床心脏病的无症状成年女性出现了异常的舒张早期心音。该发现的所有常见原因均被排除:它不是第二心音的延迟肺动脉成分、二尖瓣或三尖瓣开瓣音、舒张早期第三心音或心包摩擦音。唯一明显的原因是二维超声心动图显示的一条从室间隔内膜延伸至左心室游离壁的左心室假腱索。这种类型的心脏内异常条索已有描述,但此前似乎尚未有关于该结构舒张早期拉伸导致异常舒张早期心音的报道。

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