Prasquier R, Gibert C, Witchitz S, Valere P, Beaufils P, Vachon F
Br Med J. 1978 Jan 7;1(6104):9-11. doi: 10.1136/bmj.1.6104.9.
Five patients were found during surgery or at necropsy to have the mitral valve orifice obstructed by vegetations. They had had unexplained severe and recurrent episodes of acute febrile pulmonary oedema, and four had few cardiac ausculatory findings. Three patients died suddenly and unexpectedly; the other two were operated on and survived. In view of its ominous prognosis, acute mitral valve obstruction should be considered in patients whose pulmonary symptoms are compatible with endocarditis and are not adequately explained by the findings on examination of the heart. The condition, which should be confirmed by echocardiography, requires emergency surgery.
五名患者在手术中或尸检时发现二尖瓣口被赘生物阻塞。他们曾有无法解释的严重且反复发作的急性发热性肺水肿，其中四名患者心脏听诊发现较少。三名患者突然意外死亡；另外两名接受了手术并存活下来。鉴于其预后凶险，对于肺部症状与心内膜炎相符且心脏检查结果无法充分解释的患者，应考虑急性二尖瓣梗阻。这种情况应由超声心动图确诊，需要紧急手术。
