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一名27岁产后乳头肌破裂的女性。

A 27-Year-Old Woman With Postpartum Papillary Muscle Rupture.

作者信息

Hutt Erika, Santos-Martins Celeste, Aguilera Jose, Wierup Per, Kalahasti Vidyasagar, Tan Carmela

机构信息

Cardiovascular Medicine Department, Cleveland Clinic, Cleveland, Ohio.

Anatomic Pathology Department, Cleveland Clinic, Cleveland, Ohio.

出版信息

JACC Case Rep. 2020 Oct 23;2(14):2191-2195. doi: 10.1016/j.jaccas.2020.09.023. eCollection 2020 Nov 18.

DOI:10.1016/j.jaccas.2020.09.023
PMID:34317136
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8299862/
Abstract

Postpartum papillary muscle rupture (PMR) is extremely uncommon and tolerated poorly with limited management options other than emergency surgical intervention. This case demonstrates the challenges of postpartum PMR in a young woman with unrecognized vascular Ehlers-Danlos syndrome and highlights the importance of preconception screening of cardiovascular disease. ().

摘要

产后乳头肌破裂（PMR）极为罕见，除紧急手术干预外，其他治疗选择有限，耐受性差。本病例展示了一名患有未被识别的血管性埃勒斯-当洛综合征的年轻女性产后PMR的挑战，并强调了孕前心血管疾病筛查的重要性。（）

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87a4/8299862/bdd9eaff867d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87a4/8299862/c193cd408207/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87a4/8299862/e095c7cc1ae6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87a4/8299862/bdd9eaff867d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87a4/8299862/c193cd408207/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87a4/8299862/e095c7cc1ae6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87a4/8299862/bdd9eaff867d/gr2.jpg

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本文引用的文献

1
Rare Case of Post-Partum Spontaneous Papillary Muscle Rupture in a 15-Year-Old.15岁产后自发性乳头肌破裂罕见病例
JACC Case Rep. 2020 Apr 15;2(4):547-548. doi: 10.1016/j.jaccas.2020.02.009. eCollection 2020 Apr.
2
Cardiovascular Considerations in Caring for Pregnant Patients: A Scientific Statement From the American Heart Association.妊娠期心血管问题的处理：美国心脏协会科学声明
Circulation. 2020 Jun 9;141(23):e884-e903. doi: 10.1161/CIR.0000000000000772. Epub 2020 May 4.
3
2018 ESC Guidelines for the management of cardiovascular diseases during pregnancy.
2018年欧洲心脏病学会妊娠期心血管疾病管理指南。
Eur Heart J. 2018 Sep 7;39(34):3165-3241. doi: 10.1093/eurheartj/ehy340.
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[Papillary muscle rupture as a manifestation of SLE in the puerperium].[产后系统性红斑狼疮表现为乳头肌破裂]
Rev Port Cir Cardiotorac Vasc. 2017 Jan-Jun;24(1-2):63-65.
5
The 2017 international classification of the Ehlers-Danlos syndromes.2017年埃勒斯-当洛综合征国际分类法。
Am J Med Genet C Semin Med Genet. 2017 Mar;175(1):8-26. doi: 10.1002/ajmg.c.31552.
6
Case report and review of nonischemic spontaneous papillary muscle rupture reports between 2000 and 2015.2000年至2015年间非缺血性自发性乳头肌破裂病例报告及文献综述。
Echocardiography. 2017 May;34(5):786-790. doi: 10.1111/echo.13498. Epub 2017 Mar 14.
7
Arterial complications of vascular Ehlers-Danlos syndrome.血管性埃勒斯-当洛综合征的动脉并发症。
J Vasc Surg. 2016 Dec;64(6):1869-1880. doi: 10.1016/j.jvs.2016.06.120. Epub 2016 Sep 26.
8
Pregnancy-related deaths and complications in women with vascular Ehlers-Danlos syndrome.患有血管性埃勒斯-当洛综合征的女性的妊娠相关死亡和并发症
Genet Med. 2014 Dec;16(12):874-80. doi: 10.1038/gim.2014.53. Epub 2014 Jun 12.
9
Vascular Ehlers-Danlos syndrome mutations in type III collagen differently stall the triple helical folding.III 型胶原蛋白血管性埃勒斯-当洛斯综合征突变以不同的方式阻碍三螺旋折叠。
J Biol Chem. 2013 Jun 28;288(26):19166-76. doi: 10.1074/jbc.M113.462002. Epub 2013 May 3.
10
Effect of celiprolol on prevention of cardiovascular events in vascular Ehlers-Danlos syndrome: a prospective randomised, open, blinded-endpoints trial.西利洛尔对血管型埃勒斯-当洛斯综合征心血管事件预防作用的前瞻性随机、开放、盲终点试验。
Lancet. 2010 Oct 30;376(9751):1476-84. doi: 10.1016/S0140-6736(10)60960-9. Epub 2010 Sep 7.