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一例罕见的无症状成年女性孤立性二尖瓣副组织。

A rare case of isolated accessory mitral tissue in an asymptomatic adult female.

机构信息

Department of Respiratory, The First People's Hospital of Yunnan Province, Kunming, China.

Department of Cardiology, The First Affiliated Hospital of Kunming Medical University, Kunming, China.

出版信息

Interact Cardiovasc Thorac Surg. 2022 May 2;34(5):933-935. doi: 10.1093/icvts/ivac025.

DOI:10.1093/icvts/ivac025
PMID:35178579
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9153373/
Abstract

Accessory mitral valve tissue (AMVT) is a rare congenital cardiac anomaly, which is associated with other congenital heart diseases. It is diagnosed in neonates or childhood and rarely in adulthood. Nevertheless, AMVT is an incidental finding or described as isolated. Echocardiography, especially three-dimensional echocardiography is considered as an optimal imaging technique for AMVT diagnosis. We herein presented an asymptomatic adult AMVT cases with significant left ventricular outflow tract obstruction and surgical excision was recommended.

摘要

瓣下二尖瓣组织(Accessory mitral valve tissue,AMVT)是一种罕见的先天性心脏畸形,常与其他先天性心脏病相关。它通常在新生儿或儿童时期被诊断出来,很少在成年后被发现。然而,AMVT 也可能是偶然发现的,或者被描述为孤立性的。超声心动图,尤其是三维超声心动图,被认为是 AMVT 诊断的最佳影像学技术。本文报告了一例无症状的成人 AMVT 病例,该病例存在明显的左心室流出道梗阻,建议进行手术切除。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7112/9153373/3ea9751180cd/ivac025f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7112/9153373/f6a576ef4e4c/ivac025f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7112/9153373/3ea9751180cd/ivac025f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7112/9153373/f6a576ef4e4c/ivac025f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7112/9153373/3ea9751180cd/ivac025f2.jpg

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引用本文的文献

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Incidental Finding of Isolated Accessory Mitral Valve Tissue in Two Adults.两名成年人中偶然发现孤立的副二尖瓣组织
Clin Case Rep. 2024 Dec 6;12(12):e9699. doi: 10.1002/ccr3.9699. eCollection 2024 Dec.

本文引用的文献

1
Accessory mitral valve tissue: a case report and an updated review of literature.二尖瓣附属组织:一例病例报告及文献综述更新
J Card Surg. 2008 Nov-Dec;23(6):769-72. doi: 10.1111/j.1540-8191.2008.00633.x.
2
Images in cardiovascular medicine. Mitral valve prolapse associated with accessory mitral valve.心血管医学影像。二尖瓣脱垂合并二尖瓣副瓣。
Circulation. 2005 Mar 1;111(8):e107. doi: 10.1161/01.CIR.0000156459.33167.ED.
3
Subaortic stenosis produced by an accessory mitral valve: the role of echocardiography.副二尖瓣导致的主动脉瓣下狭窄:超声心动图的作用
Echocardiography. 2005 Jan;22(1):39-41. doi: 10.1111/j.0742-2822.2005.03180.x.
4
Postoperative outcome in patients with accessory mitral valve tissue.伴有二尖瓣附属组织患者的术后结局
Med Sci Monit. 2003 Jun;9(6):RA126-33.
5
Accessory mitral valve tissue manifesting cerebrovascular thromboembolic event in a 34-year-old woman.一名34岁女性出现脑血管血栓栓塞事件,伴有二尖瓣附属组织。
Int J Cardiol. 2003 Jun;89(2-3):309-11. doi: 10.1016/s0167-5273(02)00511-9.