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干扰二尖瓣叶运动并导致二尖瓣反流的左心房二尖瓣腱索。

Left Atrial Mitral Valve Chordae Which Disturbed the Mitral Leaflet Motion and Induced Mitral Regurgitation.

作者信息

Kameda Toru, Mizuno Tomohiro, Kawada Kota, Yoshikawa Tsubasa, Sugiyama Koichi, Katayama Yuzo, Fujii Takeshiro

机构信息

Department of Cardiovascular Surgery, Toho University Omori Medical Center, Tokyo, Japan.

出版信息

Ann Thorac Cardiovasc Surg. 2025;31(1). doi: 10.5761/atcs.cr.25-00030.

DOI:10.5761/atcs.cr.25-00030
PMID:40044161
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11885933/
Abstract

Left atrial mitral valve chorda (LAMVC) is a rare congenital cardiac anomaly. The abnormal tissue band, like a mitral valve chorda, is attached to the left atrial wall on one side and mostly to the mitral valve leaflet on the other side and the band sometimes disturbs the mitral leaflet motion, followed by mitral regurgitation (MR). We encountered a case with a LAMVC which originated from a papillary muscle and attached to the posterior mitral annulus over the posterior leaflet and caused MR due to restricted mitral leaflet motion.

摘要

左房二尖瓣腱索(LAMVC)是一种罕见的先天性心脏异常。这种异常的组织带,类似二尖瓣腱索,一侧附着于左房壁,另一侧大多附着于二尖瓣叶,该组织带有时会干扰二尖瓣叶的运动,继而导致二尖瓣反流(MR)。我们遇到一例左房二尖瓣腱索起源于乳头肌并附着于后叶上方的二尖瓣后瓣环,因二尖瓣叶运动受限而导致二尖瓣反流的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6fd/11885933/b080b8123dcb/atcs-31-1-25-00030-figure02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6fd/11885933/8eb70e35a4f2/atcs-31-1-25-00030-figure01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6fd/11885933/b080b8123dcb/atcs-31-1-25-00030-figure02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6fd/11885933/8eb70e35a4f2/atcs-31-1-25-00030-figure01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6fd/11885933/b080b8123dcb/atcs-31-1-25-00030-figure02.jpg

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本文引用的文献

1
Left atrial mitral valve chordae: An important congenital abnormality mimicking endocarditis on transthoracic echocardiography-Case report.左房二尖瓣腱索:一种在经胸超声心动图上酷似心内膜炎的重要先天性异常——病例报告
Echocardiography. 2023 Oct;40(10):1137-1139. doi: 10.1111/echo.15680. Epub 2023 Aug 30.
2
Left Atrial Anomalous Muscular Band: Case Report, Literature Review, and Role of Three-Dimensional Echocardiography.左心房异常肌束:病例报告、文献综述及三维超声心动图的作用
J Cardiovasc Echogr. 2023 Jan-Mar;33(1):51-54. doi: 10.4103/jcecho.jcecho_52_22. Epub 2023 May 29.
3
A Left Atrial Mitral Valve Chord.
一根左心房二尖瓣腱索。
JACC Case Rep. 2020 Mar 4;2(4):526-527. doi: 10.1016/j.jaccas.2019.11.079. eCollection 2020 Apr.
4
Asymptomatic congenital anomaly of the heart; congenital muscular cord bridging walls of auricle above center of mitral valve.无症状性先天性心脏异常;先天性肌性索带跨越二尖瓣中心上方的心房壁。
Am Heart J. 1947 Aug;34(2):288-90. doi: 10.1016/0002-8703(47)90299-8.