生物人工三尖瓣狭窄中的里韦罗 - 卡瓦略征
Rivero-Carvallo Sign in Bioprosthetic Tricuspid Valve Stenosis.
作者信息
Hirata Kazuhito, Yagi Nobuhito, Wake Minoru
机构信息
Division of Cardiology, Okinawa Chubu Hospital, Uruma, Okinawa Prefecture, Japan.
出版信息
JACC Case Rep. 2023 Aug 9;22:101984. doi: 10.1016/j.jaccas.2023.101984. eCollection 2023 Sep 20.
Abstract
In a case with bioprosthetic tricuspid stenosis, simultaneous phonocardiogram and Doppler recordings revealed that the louder diastolic rumble in inspiration (Rivero-Carvallo sign) is related to increased tricuspid gradient caused by less prominent decrease of right atrial pressure compared with that of the right ventricle in inspiration caused by tricuspid stenosis. ().
摘要
在一例生物瓣三尖瓣狭窄病例中，同步心音图和多普勒记录显示，吸气时更响亮的舒张期隆隆声（里韦罗-卡瓦略征）与三尖瓣狭窄导致吸气时右心房压力较右心室压力下降不明显，从而使三尖瓣压差增加有关。（）
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本文引用的文献
1
Pathophysiology of the Rivero-Carvallo Sign in Tricuspid Stenosis.三尖瓣狭窄时里韦罗-卡瓦略征的病理生理学
Am J Med. 2021 May;134(5):e337-e338. doi: 10.1016/j.amjmed.2020.10.032. Epub 2020 Dec 7.
2
Bioprosthetic tricuspid valve stenosis: a case series.生物人工三尖瓣狭窄：病例系列
Eur Heart J Case Rep. 2019 Sep 1;3(3). doi: 10.1093/ehjcr/ytz110.
3
Tricuspid stenosis. Atrial systolic murmur, tricuspid opening snap, and right atrial pressure pulse.三尖瓣狭窄。心房收缩期杂音、三尖瓣开放拍击音及右心房压力脉搏。
Am J Med. 1985 Mar;78(3):375-84. doi: 10.1016/0002-9343(85)90327-4.
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