Faruqui A M, Silverman M E
Br Heart J. 1978 Feb;40(2):198-200. doi: 10.1136/hrt.40.2.198.
A patient is reported with isolated pulmonary valvular regurgitation acquired probably as a result of endocarditis at age 22 years. The patents remained essentially asymptomatic with physical findings compatible with haemodynamically significant pulmonary regurgitation until death at age 85 years. A necropsy confirmed the presence of isolated severe pulmonary valvular destruction. This long-term follow-up lends further support to the concept that significant volume overload of the right ventricle from pulmonary regurgitation is well tolerated and usually does not require surgical intervention.
据报道，一名患者在22岁时可能因心内膜炎而出现孤立性肺动脉瓣反流。该患者在85岁去世前一直基本无症状，体格检查结果与血流动力学显著的肺动脉反流相符。尸检证实存在孤立性严重肺动脉瓣破坏。这一长期随访进一步支持了以下观点：肺动脉反流导致的右心室显著容量超负荷耐受性良好，通常不需要手术干预。
