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左心室心尖部动脉瘤切除术及二尖瓣置换术治疗心尖肥厚型心肌病。

Left ventricular apical aneurysm resection and mitral valve replacement for apical hypertrophic cardiomyopathy.

作者信息

Nishiori Hironobu, Watanabe Hiroyuki, Hirano Yuichi, Otsu Masayoshi

机构信息

Division of Cardiovascular Surgery Narita Red Cross Hospital Chiba Japan.

出版信息

Clin Case Rep. 2023 Sep 28;11(10):e7974. doi: 10.1002/ccr3.7974. eCollection 2023 Oct.

DOI:10.1002/ccr3.7974
PMID:37780925
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10539681/
Abstract

KEY CLINICAL MESSAGE

Left ventricular apical hypertrophic cardiomyopathy with an apical aneurysm carries a risk of thrombosis and can also lead to atrial fibrillation and functional mitral regurgitation.

ABSTRACT

A 78-year-old woman underwent left ventricular apical aneurysm (LVAA) resection and mitral valve replacement for severe atrial functional mitral regurgitation. ApHCM can cause atrial fibrillation and atrial functional mitral valve regurgitation. LVAA resection in addition to mitral valve replacement was reasonable to prevent fatal complications associated with LVAA.

摘要

关键临床信息

伴有心尖部动脉瘤的左心室心尖肥厚型心肌病存在血栓形成风险，还可导致心房颤动和功能性二尖瓣反流。

摘要

一名78岁女性因严重心房功能性二尖瓣反流接受了左心室心尖部动脉瘤（LVAA）切除术和二尖瓣置换术。心尖肥厚型心肌病（ApHCM）可导致心房颤动和心房功能性二尖瓣反流。除二尖瓣置换术外，行LVAA切除术对于预防与LVAA相关的致命并发症是合理的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e97/10539681/2b215827face/CCR3-11-e7974-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e97/10539681/175a3adac78b/CCR3-11-e7974-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e97/10539681/f30095e78d99/CCR3-11-e7974-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e97/10539681/6afd443167c5/CCR3-11-e7974-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e97/10539681/4639938e6cd0/CCR3-11-e7974-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e97/10539681/2b215827face/CCR3-11-e7974-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e97/10539681/175a3adac78b/CCR3-11-e7974-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e97/10539681/f30095e78d99/CCR3-11-e7974-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e97/10539681/6afd443167c5/CCR3-11-e7974-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e97/10539681/4639938e6cd0/CCR3-11-e7974-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e97/10539681/2b215827face/CCR3-11-e7974-g001.jpg

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本文引用的文献

1
A natural history of apical hypertrophic cardiomyopathy with development of an apical aneurysm formation: A case report following a quarter century.伴有心尖部动脉瘤形成的肥厚型心肌病的自然病史：25年随访病例报告
J Cardiol Cases. 2014 Mar 6;9(6):221-225. doi: 10.1016/j.jccase.2014.01.014. eCollection 2014 Jun.
2
Hypertrophic Cardiomyopathy With Left Ventricular Apical Aneurysm: Implications for Risk Stratification and Management.肥厚型心肌病伴左心室心尖部瘤：风险分层和管理的意义。
J Am Coll Cardiol. 2017 Feb 21;69(7):761-773. doi: 10.1016/j.jacc.2016.11.063.