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二尖瓣吻痕-病例报告。

Kissing Lesion of Mitral Valve - A Case Report.

机构信息

Department of Cardiothoracic and Vascular Surgery, Postgraduate Institute of Medical Education & Research - PGIMER, Chandigarh, India.

Department of Anesthesia and Intensive Care, Postgraduate Institute of Medical Education & Research - PGIMER, Chandigarh, India.

出版信息

Braz J Cardiovasc Surg. 2021 Feb 1;36(1):130-132. doi: 10.21470/1678-9741-2019-0168.

DOI:10.21470/1678-9741-2019-0168
PMID:33594867
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7918386/
Abstract

Aortic valve endocarditis can lead to secondary involvement of aorto-mitral curtain and the adjacent anterior mitral leaflet (AML). The secondary damage to AML is often caused by the infected jet of aortic regurgitation hitting the ventricular surface of the mitral leaflet, or by the pronounced bacterial vegetation that prolapses from the aortic valve into the left ventricular outflow tract. This is called 'kissing lesion'. We describe a patient with infective endocarditis of the aortic valve causing perforation of both noncoronary cusp of aortic valve and the AML, which is rare.

摘要

主动脉瓣心内膜炎可导致主动脉瓣-二尖瓣瓣环及毗邻的二尖瓣前叶（AML）的继发性受累。AML 的继发性损害通常是由感染性主动脉瓣反流的喷射流冲击二尖瓣叶的心室面引起的，或者是由从主动脉瓣脱垂入左心室流出道的明显细菌赘生物引起的。这被称为“亲吻性病灶”。我们描述了一例主动脉瓣感染性心内膜炎导致非冠状动脉瓣及 AML 穿孔的患者，这种情况较为罕见。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e46/7918386/856da017e8c8/rbccv-36-01-0130-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e46/7918386/7da9b0faea87/rbccv-36-01-0130-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e46/7918386/8cf163f3610f/rbccv-36-01-0130-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e46/7918386/856da017e8c8/rbccv-36-01-0130-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e46/7918386/7da9b0faea87/rbccv-36-01-0130-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e46/7918386/8cf163f3610f/rbccv-36-01-0130-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e46/7918386/856da017e8c8/rbccv-36-01-0130-g03.jpg

相似文献

1
Kissing Lesion of Mitral Valve - A Case Report.二尖瓣吻痕-病例报告。
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本文引用的文献

1
Blood velocity and endocarditis.血流速度与心内膜炎
Circulation. 1963 Jan;27:18-28. doi: 10.1161/01.cir.27.1.18.
2
The importance of secondary mitral valve involvement in primary aortic valve endocarditis; the mitral kissing vegetation.继发性二尖瓣受累在原发性主动脉瓣心内膜炎中的重要性；二尖瓣吻接性赘生物。
Eur Heart J. 2002 Jan;23(1):79-86. doi: 10.1053/euhj.2001.2689.
3
The mitral kissing vegetation.二尖瓣对吻性赘生物。
Eur Heart J. 2002 Jan;23(1):11-2. doi: 10.1053/euhj.2001.2811.
4
The importance of the "jet lesion" in bacterial endocarditis involving the left heart. Surgical considerations.“喷射性病变”在累及左心的细菌性心内膜炎中的重要性。手术考量。
J Thorac Cardiovasc Surg. 1970 Feb;59(2):185-92.
5
Cardiac complications of infectious endocarditis of the aortic valve.主动脉瓣感染性心内膜炎的心脏并发症
Eur J Cardiol. 1974 Apr;1(4):467-72.
6
Transesophageal echocardiographic recognition of subaortic complications in aortic valve endocarditis. Clinical and surgical implications.经食管超声心动图对主动脉瓣心内膜炎主动脉瓣下并发症的识别。临床及外科意义。
Circulation. 1992 Aug;86(2):353-62. doi: 10.1161/01.cir.86.2.353.