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在主动脉瓣置换术中，对于严重主动脉瓣和二尖瓣狭窄，经主动脉瓣环同时对二尖瓣前叶进行脱钙处理。

Concomitant decalcification of the anterior mitral leaflet via the aortic annulus during aortic valve replacement for significant aortic and mitral stenoses.

作者信息

Furuta Akihisa, Mukai Shogo, Morimoto Hironobu, Kitaura Junya, Futagami Daisuke

机构信息

Department of Cardiovascular Surgery Fukuyama Cardiovascular Hospital Fukuyama Japan.

出版信息

Clin Case Rep. 2021 Nov 25;9(11):e05119. doi: 10.1002/ccr3.5119. eCollection 2021 Nov.

DOI:10.1002/ccr3.5119
PMID:34853686
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8614090/
Abstract

An 82-year-old man undergoing regular hemodialysis with substantial aortic and mitral valve stenoses underwent aortic valve replacement with concomitant mitral decalcification via the aortic annulus. Postoperative transthoracic echocardiography showed reduced mitral stenosis. The patient was discharged on the 14th postoperative day uneventfully.

摘要

一名82岁接受定期血液透析且患有严重主动脉瓣和二尖瓣狭窄的男性，通过主动脉瓣环进行了主动脉瓣置换术并同时进行二尖瓣去钙化。术后经胸超声心动图显示二尖瓣狭窄减轻。患者于术后第14天顺利出院。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1616/8614090/316fdbc69241/CCR3-9-e05119-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1616/8614090/18484c46d145/CCR3-9-e05119-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1616/8614090/09999a9f81f8/CCR3-9-e05119-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1616/8614090/316fdbc69241/CCR3-9-e05119-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1616/8614090/18484c46d145/CCR3-9-e05119-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1616/8614090/09999a9f81f8/CCR3-9-e05119-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1616/8614090/316fdbc69241/CCR3-9-e05119-g004.jpg

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本文引用的文献

1
Relationships of mitral annular calcification to cardiovascular risk factors: the Multi-Ethnic Study of Atherosclerosis (MESA).二尖瓣环钙化与心血管危险因素的关系：动脉粥样硬化多民族研究（MESA）。
Atherosclerosis. 2010 Dec;213(2):558-62. doi: 10.1016/j.atherosclerosis.2010.08.072. Epub 2010 Sep 16.
2
Mitral annular calcification predicts cardiovascular morbidity and mortality: the Framingham Heart Study.二尖瓣环钙化可预测心血管疾病的发病率和死亡率：弗雷明汉心脏研究
Circulation. 2003 Mar 25;107(11):1492-6. doi: 10.1161/01.cir.0000058168.26163.bc.
3
Combined conventional mechanical and ultrasonic debridement for aortic valvular stenosis.
联合传统机械清创术与超声清创术治疗主动脉瓣狭窄
Ann Thorac Surg. 1992 Jul;54(1):62-7. doi: 10.1016/0003-4975(92)91141-u.