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重度孤立性肺动脉瓣关闭不全的不寻常临床和超声心动图特征。

Unusual clinical and echocardiographic features of severe isolated pulmonic insufficiency.

作者信息

Roistacher N, Kronzon I, Winer H E

出版信息

Chest. 1983 Aug;84(2):227-9. doi: 10.1378/chest.84.2.227.

DOI:10.1378/chest.84.2.227
PMID:6872607
Abstract

A 57-year-old psoriatic man had severe, isolated pulmonic regurgitation, with intractable right sided failure. Echocardiography showed flail pulmonic leaflet and premature opening of the valve. Cardiac catheterization documented severe pulmonic regurgitation. The right ventricular end-diastolic pressure was elevated above the pulmonary artery diastolic pressure, thus explaining the echocardiographic finding. The patient was treated successfully by pulmonic valve replacement.

摘要

一名57岁的银屑病男性患有严重的孤立性肺动脉瓣反流,并伴有顽固性右侧心力衰竭。超声心动图显示肺动脉瓣叶脱垂及瓣膜过早开放。心导管检查证实存在严重的肺动脉瓣反流。右心室舒张末期压力高于肺动脉舒张压,这就解释了超声心动图的检查结果。该患者通过肺动脉瓣置换术获得成功治疗。

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