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以急性肺水肿为表现的青少年二尖瓣狭窄经皮球囊二尖瓣成形术治疗

Juvenile Mitral Stenosis Presenting as Acute Pulmonary Edema Treated with Balloon Mitral Valvotomy.

作者信息

Ghosh Newton, Mishra Priyavardhan, Balwaik Kshitij, Patil Anant

机构信息

Department of Cardiology, School of Medicine, DY Patil Deemed to be University, Navi Mumbai, Maharashtra, India.

School of Medicine, DY Patil Deemed to be University, Navi Mumbai, Maharashtra, India.

出版信息

Heart Views. 2024 Oct-Dec;25(4):280-282. doi: 10.4103/heartviews.heartviews_136_24. Epub 2025 May 10.

Abstract

Juvenile mitral stenosis is defined by poor left atrial emptying due to limited opening of the mitral-valve orifice in patients under the age of 20 years. Balloon mitral valvotomy is the current treatment of choice for juvenile mitral stenosis. Here we report a case of a 14-year-old female presenting with signs of acute pulmonary oedema. Later on, underlying mitral stenosis was revealed on echocardiography. After evaluation, she was successfully managed by percutaneous balloon mitral valvotomy. Screening young patients with pulmonary oedema by two-dimensional echocardiography is necessary to evaluate the underlying cardiac cause.

摘要

青少年二尖瓣狭窄的定义为20岁以下患者因二尖瓣口开放受限导致左心房排空不良。球囊二尖瓣成形术是目前青少年二尖瓣狭窄的首选治疗方法。在此,我们报告一例14岁女性患者,表现为急性肺水肿症状。后来,超声心动图显示存在潜在的二尖瓣狭窄。经评估,她通过经皮球囊二尖瓣成形术成功得到治疗。通过二维超声心动图对肺水肿的年轻患者进行筛查,对于评估潜在的心脏病因很有必要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4a5/12139653/16d37515da9b/HV-25-280-g001.jpg

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