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进退两难：肾衰竭继发左心室流出道转移性钙化导致有症状的主动脉瓣反流。

Between a Rock and a Hard Place: Metastatic Calcinosis of Left Ventricular Outflow Tract Secondary to Renal Failure Resulting in Symptomatic Aortic Regurgitation.

作者信息

Sadic Edin, Morales Jose Ruiz, Missov Emil, Percy Robert, Sattiraju Srinivasan

机构信息

Division of Cardiology, University of Florida Health-Jacksonville, Jacksonville, Florida.

出版信息

CASE (Phila). 2021 Feb 5;5(2):101-104. doi: 10.1016/j.case.2021.01.001. eCollection 2021 Apr.

DOI:10.1016/j.case.2021.01.001
PMID:33912778
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8071827/
Abstract

• Cardiac complications are the most common cause of death in dialysis patients. • Cardiac complications include coronary disease, arrhythmias, and valvular disease. • Valvular calcification can lead to valve dysfunction, conduction issues, and embolism. • With an increasingly dialysis-dependent and aged population, clinical prevalence is high.

摘要

• 心脏并发症是透析患者最常见的死亡原因。

• 心脏并发症包括冠心病、心律失常和瓣膜疾病。

• 瓣膜钙化可导致瓣膜功能障碍、传导问题和栓塞。

• 随着依赖透析的人群和老年人口的增加，临床患病率很高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53ee/8071827/2fcba78a47a0/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53ee/8071827/82b45789bd29/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53ee/8071827/7ca1b83d309d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53ee/8071827/75a86a2298a5/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53ee/8071827/306dbfe1c6d3/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53ee/8071827/eb2405426fa6/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53ee/8071827/52bedc7c0b69/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53ee/8071827/2fcba78a47a0/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53ee/8071827/82b45789bd29/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53ee/8071827/7ca1b83d309d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53ee/8071827/75a86a2298a5/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53ee/8071827/306dbfe1c6d3/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53ee/8071827/eb2405426fa6/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53ee/8071827/52bedc7c0b69/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53ee/8071827/2fcba78a47a0/gr6.jpg

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本文引用的文献

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Valvular heart disease and calcification in CKD: more common than appreciated.慢性肾脏病中的瓣膜心脏病和钙化：比想象中更常见。
Nephrol Dial Transplant. 2020 Dec 4;35(12):2046-2053. doi: 10.1093/ndt/gfz133.
2
Cardiac valve calcification and risk of cardiovascular or all-cause mortality in dialysis patients: a meta-analysis.透析患者心脏瓣膜钙化与心血管或全因死亡风险：一项荟萃分析
BMC Cardiovasc Disord. 2018 Jan 25;18(1):12. doi: 10.1186/s12872-018-0747-y.
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Calcified Amorphous Tumor Causing Shower Embolism to the Brain: A Case Report with Serial Echocardiographic and Neuroradiologic Images and a Review of the Literature.
钙化性无定形肿瘤导致脑栓塞：一例伴有系列超声心动图和神经放射学影像的病例报告及文献复习
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Medical Treatment of Aortic Stenosis.主动脉瓣狭窄的治疗。
Circulation. 2016 Nov 29;134(22):1766-1784. doi: 10.1161/CIRCULATIONAHA.116.023997.
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Metastatic Calcinosis of Aortic Valve Secondary to Renal Failure Mimicking Infective Endocarditis.肾衰竭继发主动脉瓣转移性钙化，酷似感染性心内膜炎。
Case Rep Cardiol. 2016;2016:3916507. doi: 10.1155/2016/3916507. Epub 2016 Sep 25.
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Impact of statins on serial coronary calcification during atheroma progression and regression.他汀类药物对动脉粥样硬化进展和消退过程中冠状动脉钙化的影响。
J Am Coll Cardiol. 2015 Apr 7;65(13):1273-1282. doi: 10.1016/j.jacc.2015.01.036.
7
Calcified amorphous tumor of the heart: case report and review of the literature.心脏钙化性无定形肿瘤：病例报告及文献复习
Methodist Debakey Cardiovasc J. 2014 Jan-Mar;10(1):38-40. doi: 10.14797/mdcj-10-1-38.
8
Early and late outcomes of aortic valve replacement in dialysis patients.透析患者主动脉瓣置换术的早期和晚期结果。
Ann Thorac Surg. 2010 Jan;89(1):65-70. doi: 10.1016/j.athoracsur.2009.10.026.
9
Heart valve calcifications in patients with end-stage renal disease: analysis for risk factors.终末期肾病患者的心脏瓣膜钙化：危险因素分析
Nephrology (Carlton). 2006 Dec;11(6):494-6. doi: 10.1111/j.1440-1797.2006.00696.x.
10
Metastatic calcification as a subaortic pedunculated mass in a patient with chronic renal failure.转移性钙化表现为慢性肾衰竭患者主动脉瓣下带蒂肿块。
Int J Cardiol. 2007 Feb 14;115(3):399-401. doi: 10.1016/j.ijcard.2006.01.068. Epub 2006 Sep 7.