Bareiss P, Eisenmann B, Geitner S, Class J J, Christmann D, Sauder P, Kieny R
Arch Mal Coeur Vaiss. 1977 Nov;70(11):1213-20.
The authors report a case of a patient of 72 years of age in whom the sudden onset of severe left ventricular failure led to the discovery of massive mitral incompetence. The diagnosis of rupture of the posterior papillary muscle of the mitral valve, which was suggested on clinical and echocardiographic grounds, was confirmed at operation. This was carried out after 72 hours of assisted circulation by counter-pressure, and consisted of a replacement by a prosthetic valve. The authors emphasise, in the light of this case, the importance of echocardiography by ultrasound in the early diagnosis of this type of acute mitral incompetence, clarify the signs, and emphasise the part played by assisted circulation with an intra-aortic balloon in the treatment of this condition.
作者报告了一例72岁患者，其突然发生严重左心室衰竭，进而发现严重二尖瓣关闭不全。二尖瓣后乳头肌破裂的诊断在临床和超声心动图检查的基础上被提出，并在手术中得到证实。手术在通过反压进行72小时辅助循环后进行，包括置换人工瓣膜。作者根据该病例强调了超声心动图在这类急性二尖瓣关闭不全早期诊断中的重要性，阐明了体征，并强调了主动脉内球囊辅助循环在该病治疗中所起的作用。
