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室间隔缺损合并膜周部室间隔瘤及降落伞样二尖瓣。超声心动图检查结果。

Ventricular septal defect with aneurysm of the membranous septum and a parachute mitral valve. Echocardiographic findings.

作者信息

Salazar J, Gimenez J, Ruiz J M

出版信息

Acta Cardiol. 1980;35(2):131-9.

PMID:6970478
Abstract

The echocardiographic findings in a case of ventricular septal defect with aneurysm of the membranous septum and a parachute mitral valve, are analyzed. An abnormal linear echo was recorded within the left ventricular outflow tract and in the aortic root, and in close relationship with the tricuspid valve. No abnormal systolic echoes were seen neither anterior to the interventricular septum nor in the right ventricular outflow tract. The hypothesis that a parachute m. An abnormal linear echo was recorded within the left ventricular outflow tract and in the aortic root, and in close relationship with the tricuspid valve. No abnormal systolic echoes were seen neither anterior to the interventricular septum nor in the right ventricular outflow tract. The hypothesis that a parachute m. An abnormal linear echo was recorded within the left ventricular outflow tract and in the aortic root, and in close relationship with the tricuspid valve. No abnormal systolic echoes were seen neither anterior to the interventricular septum nor in the right ventricular outflow tract. The hypothesis that a parachute mitral valve without significant obstruction at the infravalvar level is not distinguishable echocardiographically from a normal mitral valve, is confirmed in this patient. This case example further clarifies the origin of the anterior cusp echo of the aorta, due to the close proximity between the membranous septum and the right aortic cusp.

摘要

分析了一例室间隔缺损合并膜周部室间隔瘤及降落伞样二尖瓣患者的超声心动图表现。在左心室流出道和主动脉根部记录到一条异常线性回声,且与三尖瓣关系密切。在室间隔前方及右心室流出道均未见到异常收缩期回声。降落伞样二尖瓣在瓣下水平无明显梗阻时,超声心动图无法将其与正常二尖瓣区分开来这一假说,在该患者中得到证实。由于膜周部室间隔与右主动脉瓣叶紧邻,该病例进一步阐明了主动脉前叶回声的起源。

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