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机动车事故后术中经食管超声心动图偶然发现创伤性乳头肌破裂

Incidental Finding of Traumatic Papillary Muscle Rupture on Intraoperative Transesophageal Echocardiogram following a Motor Vehicle Accident.

作者信息

Goodman Rachel, Mohananey Divyanshu, Garster Noelle, Gaglianello Nunzio

机构信息

Medical College of Wisconsin Department of Cardiology, Milwaukee, Wisconsin.

出版信息

CASE (Phila). 2021 Dec 9;6(1):21-23. doi: 10.1016/j.case.2021.09.005. eCollection 2022 Feb.

DOI:10.1016/j.case.2021.09.005
PMID:35243195
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8883070/
Abstract

• Traumatic papillary muscle rupture is a rare cause of acute MR. • Acute MR is typically a low-velocity jet with a triangle-shaped Doppler spectrum. • Methods of quantification using the continuity equation may not be accurate in acute MR. • A high index of suspicion is required to detect acute papillary muscle rupture. • Consider MR with a hyperdynamic LV, near-systolic LV obliteration, and pulmonary edema.

摘要

• 创伤性乳头肌破裂是急性二尖瓣反流的罕见原因。

• 急性二尖瓣反流通常是具有三角形多普勒频谱的低速血流。

• 使用连续性方程的定量方法在急性二尖瓣反流中可能不准确。

• 检测急性乳头肌破裂需要高度怀疑。

• 考虑伴有左心室高动力、近收缩期左心室闭塞和肺水肿的二尖瓣反流。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3def/8883070/59086fe82c47/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3def/8883070/a1df25aedbab/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3def/8883070/acb65139e4aa/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3def/8883070/dc9d3844746c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3def/8883070/ab91763592d6/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3def/8883070/59086fe82c47/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3def/8883070/a1df25aedbab/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3def/8883070/acb65139e4aa/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3def/8883070/dc9d3844746c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3def/8883070/ab91763592d6/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3def/8883070/59086fe82c47/gr4.jpg

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Incidental Finding of Traumatic Papillary Muscle Rupture on Intraoperative Transesophageal Echocardiogram following a Motor Vehicle Accident.机动车事故后术中经食管超声心动图偶然发现创伤性乳头肌破裂
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本文引用的文献

1
Blunt Thoracic Trauma-Induced Mitral Papillary Muscle Avulsion with Pericardial Rupture and Cardiac Herniation: Difficult and Delayed Diagnoses.钝性胸外伤致二尖瓣乳头肌撕脱伴心包破裂及心脏疝：诊断困难且延迟
Case Rep Surg. 2020 Jun 22;2020:3268253. doi: 10.1155/2020/3268253. eCollection 2020.
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Acute mitral regurgitation.急性二尖瓣反流。
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Acute Valvular Heart Disease.
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Traumatic mitral valve rupture.创伤性二尖瓣破裂
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Nonpenetrating traumatic injury of the heart.心脏非穿透性创伤
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Papillary muscle rupture and pericardial injuries after blunt chest trauma.钝性胸部创伤后乳头肌破裂和心包损伤。
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