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二尖瓣异常导致左心室流出道梗阻：一名4个月大婴儿二尖瓣置换术成功

Left ventricular outflow tract obstruction due to anomalous mitral valve: successful mitral valve replacement in a four month old infant.

作者信息

Morais P, Westaby S, Hallidie-Smith K A

出版信息

Br Heart J. 1986 Oct;56(4):385-7. doi: 10.1136/hrt.56.4.385.

DOI:10.1136/hrt.56.4.385
PMID:3768218
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1236876/
Abstract

A four month old infant was investigated for heart failure was found to have mitral incompetence and severe subvalvar aortic stenosis. The left ventricular outflow tract obstruction was found to be due to an anatomically anomalous mitral valve. The obstruction could only be relieved by removal of the mitral valve and its replacement with a St Jude's prosthesis. Two years after operation the child is fit and active. There have been no difficulties with anticoagulant treatment.

摘要

一名4个月大的婴儿因心力衰竭接受检查，发现患有二尖瓣关闭不全和严重的瓣膜下主动脉狭窄。发现左心室流出道梗阻是由于二尖瓣解剖结构异常所致。只有通过切除二尖瓣并用圣犹达人工瓣膜进行置换才能缓解梗阻。术后两年，患儿健康且活跃。抗凝治疗没有出现任何问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1932/1236876/04a7eece319d/brheartj00106-0088-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1932/1236876/d90aedcea109/brheartj00106-0088-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1932/1236876/04a7eece319d/brheartj00106-0088-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1932/1236876/d90aedcea109/brheartj00106-0088-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1932/1236876/04a7eece319d/brheartj00106-0088-b.jpg

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Left ventricular outflow tract obstruction due to anomalous mitral valve: successful mitral valve replacement in a four month old infant.二尖瓣异常导致左心室流出道梗阻：一名4个月大婴儿二尖瓣置换术成功
Br Heart J. 1986 Oct;56(4):385-7. doi: 10.1136/hrt.56.4.385.
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本文引用的文献

1
PATHOLOGY OF LEFT VENTRICULAR OUTFLOW TRACT OBSTRUCTION.左心室流出道梗阻的病理学
Circulation. 1965 Apr;31:586-99. doi: 10.1161/01.cir.31.4.586.
2
SUBAORTIC STENOSIS CAUSED BY ANOMALIES OF THE ATRIOVENTRICULAR VALVES.
J Thorac Cardiovasc Surg. 1964 Aug;48:289-302.
3
Atrio-ventricular defect of membranous septum: left ventricular-right atrial communication with malformed mitral valve simulating aortic stenosis; report of a case.膜周部房室间隔缺损：左心室-右心房交通伴二尖瓣畸形酷似主动脉瓣狭窄；病例报告
Bull Johns Hopkins Hosp. 1957 May;100(5):209-22.
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Experience with aortic and mitral valve replacement in children.儿童主动脉瓣和二尖瓣置换经验。
J Thorac Cardiovasc Surg. 1981 Mar;81(3):326-33.
5
Repeated mitral valve replacement in the growing child with congenital mitral valve disease.先天性二尖瓣疾病患儿成长过程中的二尖瓣重复置换术。
J Thorac Cardiovasc Surg. 1980 May;79(5):765-9.
6
Calcification in porcine xenograft valves in children.儿童猪异种移植瓣膜中的钙化
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Porcine valve durability in children.儿童猪瓣膜的耐用性
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8
Mitral valve replacement in children.儿童二尖瓣置换术
J Thorac Cardiovasc Surg. 1982 Jun;83(6):873-7.
9
Valve replacement in children. A fifteen-year perspective.儿童心脏瓣膜置换术：十五年回顾
J Thorac Cardiovasc Surg. 1982 Feb;83(2):178-85.
10
Severe calcification of glutaraldehyde-preserved porcine xenografts in children.儿童戊二醛保存猪异种移植物的严重钙化
Am J Cardiol. 1980 Mar;45(3):690-6. doi: 10.1016/s0002-9149(80)80023-3.