Vitarelli A, Colloridi V, Cirelli M
G Ital Cardiol. 1978;8(3):292-8.
Echocardiographic studies were performed in 15 patients, aged 8 months to 20 years, with congenital valvular aortic stenosis confirmed by hemodynamic findings. Seven patients showed an anomalous pattern of the valvular echo in diastole (multiple valve echoes), seven exhibited an eccentric closure, and only in two patients the area was significantly reduced in systole. Therefore aortic valve diastolic pattern was more important than systolic appearance in the echocardiografic diagnosis of congenital valvular aortic stenosis. In all cases a correlation was found between the left ventricular pressure obtained with this non invasive method and the pressure measured in the left ventricle at the cardiac catheterization (p less than 0.001).
对15例年龄在8个月至20岁之间、经血流动力学检查确诊为先天性瓣膜性主动脉瓣狭窄的患者进行了超声心动图研究。7例患者在舒张期显示瓣膜回声异常模式(多个瓣膜回声),7例表现为偏心性关闭,仅2例患者在收缩期瓣口面积明显减小。因此,在先天性瓣膜性主动脉瓣狭窄的超声心动图诊断中,主动脉瓣舒张期模式比收缩期表现更重要。在所有病例中,均发现用这种非侵入性方法获得的左心室压力与心导管检查时左心室内测量的压力之间存在相关性(p<0.001)。