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四叶式主动脉瓣的困境——“不幸”的四叶草:病例报告和简要临床回顾。

The Quandary of the Quadricuspid Aortic Valve-The "Unlucky" 4-Leaf Clover: Case Report and Brief Clinical Review.

机构信息

North Central Regional Health Authority, Mt. Hope, Trinidad and Tobago.

University of the West Indies, St. Augustine, Trinidad and Tobago.

出版信息

J Investig Med High Impact Case Rep. 2020 Jan-Dec;8:2324709620921626. doi: 10.1177/2324709620921626.

DOI:10.1177/2324709620921626
PMID:32389028
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7370807/
Abstract

The quadricuspid aortic valve is an exceedingly rare congenital valvular anomaly, characterized by a tetrad of leaflets that typically presents with aortic regurgitation. Almost one third of cases are associated with coexisting cardiac defects with one fifth warranting surgical intervention. In this article, we describe the first documented-in-Caribbean case and present a brief clinical review of its pathophysiology, diagnosis, and management.

摘要

四叶式主动脉瓣是一种极其罕见的先天性瓣膜畸形,其特征为四个瓣叶,通常表现为主动脉瓣反流。近三分之一的病例与并存的心脏缺陷相关,其中五分之一需要手术干预。本文描述了加勒比地区首例有记录的病例,并简要回顾了其病理生理学、诊断和治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1555/7370807/dbe8d586063f/10.1177_2324709620921626-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1555/7370807/e3811ebaab91/10.1177_2324709620921626-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1555/7370807/e388a267aa69/10.1177_2324709620921626-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1555/7370807/dbe8d586063f/10.1177_2324709620921626-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1555/7370807/e3811ebaab91/10.1177_2324709620921626-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1555/7370807/e388a267aa69/10.1177_2324709620921626-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1555/7370807/dbe8d586063f/10.1177_2324709620921626-fig3.jpg

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TAVI for Pure Native Aortic Regurgitation: Are We There Yet?经导管主动脉瓣植入术治疗单纯原发性主动脉瓣反流:我们做到了吗?
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Long-term outcomes in 3 cases of quadricuspid aortic valve, using a new classification system: A case series and literature review.应用一种新的分类系统对3例四叶式主动脉瓣患者的长期预后:病例系列及文献综述
先天性四叶式主动脉瓣合并主动脉瓣及二尖瓣反流:病例报告与文献综述
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Echocardiography. 2019 Mar;36(3):595-597. doi: 10.1111/echo.14278. Epub 2019 Feb 25.
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Neurohormonal Blockade in Heart Failure.心力衰竭中的神经激素阻断
Card Fail Rev. 2017 Apr;3(1):19-24. doi: 10.15420/cfr.2016:22:2.
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Quadricuspid Aortic Valve: A Case Report and Review of the Literature.四叶式主动脉瓣:一例病例报告及文献综述
J Cardiovasc Echogr. 2015 Jul-Sep;25(3):72-76. doi: 10.4103/2211-4122.166077.
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