Carr Karen, Yetman Anji, Garg Ruchira
Department of Pediatrics, University of California-Los Angeles, Los Angeles, California, USA.
Internal Medicine and Pediatric Cardiology, Division of Cardiovascular Medicine, Children's Hospital & Medical Center, University of Nebraska Medical Center, Omaha, Nebraska, USA.
JACC Case Rep. 2021 Oct 6;3(13):1551-1556. doi: 10.1016/j.jaccas.2021.08.006.
We discuss an adolescent with Marfan syndrome and a previous aortic valve-sparing root replacement who was found to have mitral annular disjunction on surveillance cardiac imaging in the setting of recurrent palpitations. Ambulatory heart rate monitoring incidentally captured a fatal ventricular arrhythmia, a well-recognized but underappreciated cause of sudden cardiac death in patients with Marfan syndrome. ().
我们讨论了一名患有马凡综合征且曾接受保留主动脉瓣的根部置换术的青少年，该患者在反复心悸的情况下，经心脏超声监测发现二尖瓣环分离。动态心率监测偶然捕捉到一次致命的室性心律失常，这是马凡综合征患者心脏性猝死的一个公认但未得到充分重视的原因。（）
