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超声心动图在诊断Björk-Shiley人工瓣膜二尖瓣瓣周反流中的应用

Echophonocardiography in diagnosis of mitral paravalvular regurgitation with Björk-Shiley prosthetic valve.

作者信息

Griffiths B E, Charles R, Coulshed N

出版信息

Br Heart J. 1980 Mar;43(3):325-31. doi: 10.1136/hrt.43.3.325.

DOI:10.1136/hrt.43.3.325
PMID:7437180
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC482283/
Abstract

The echophonocardiographic features in three patients with a mitral Björk-Shiley prosthesis and paravalvular regurgitation are presented. The characteristic features are an early diastolic humping of the Björk-Shiley disc echo, associated with normal rather than paradoxical septal motion, and a reduced A2-MVO interval. The diagnosis was confirmed at operation in one patient, at cardiac catheterisation and operation in the second, and at necropsy in the third. These features were abolished by surgical correction of the leak in both operated cases.

摘要

本文介绍了3例二尖瓣Björk-Shiley人工瓣膜及瓣周反流患者的超声心动图特征。其特征性表现为Björk-Shiley瓣盘回声在舒张早期隆起,伴有正常而非矛盾的室间隔运动,且A2-MVO间期缩短。1例患者在手术时确诊,第2例在心脏导管检查及手术时确诊,第3例在尸检时确诊。在2例接受手术的病例中,通过手术修复渗漏后这些特征消失。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4464/482283/e2a967248201/brheartj00193-0086-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4464/482283/e2a967248201/brheartj00193-0086-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4464/482283/e2a967248201/brheartj00193-0086-a.jpg

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引用本文的文献

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本文引用的文献

1
Clinical application of ultrasound in the analysis of prosthetic ball value function.超声在人工球瓣功能分析中的临床应用
Am J Cardiol. 1967 Jan;19(1):97-107. doi: 10.1016/0002-9149(67)90267-6.
2
Echocardiographic evaluation of the Bjork-Shiley prosthetic valve.比约克-希利人工瓣膜的超声心动图评估
Circulation. 1974 Jul;50(1):52-7. doi: 10.1161/01.cir.50.1.52.
3
Role of echocardiography and phonocardiography in diagnosis of mitral paraprosthetic regurgitation with Starr-Edwards prostheses.超声心动图和心音图在诊断使用斯塔尔-爱德华兹人工瓣膜的二尖瓣人工瓣膜反流中的作用。
Br Heart J. 1973 Dec;35(12):1217-25. doi: 10.1136/hrt.35.12.1217.
4
Diagnosis of Björk-Shiley aortic valve dysfunction by echocardiography.超声心动图诊断比约克-希利主动脉瓣功能障碍
Am Heart J. 1976 Mar;91(3):318-24. doi: 10.1016/s0002-8703(76)80215-3.
5
Diagnosis of prosthetic mitral valve malfunction with combined echo-phonocardiography.联合超声心动图-心音图诊断人工二尖瓣功能障碍
Circulation. 1976 Jan;53(1):93-100. doi: 10.1161/01.cir.53.1.93.
6
The Björk-Shiley tilting disc valve prosthesis. Echocardiographic findings.比约克-希利倾斜盘式人工心脏瓣膜。超声心动图检查结果。
Scand J Thorac Cardiovasc Surg. 1975;9(3):192-6. doi: 10.3109/14017437509138638.
7
Echocardiographic study of malfunction of the Bjork-Shiley prosthetic heart valve in the mitral position.二尖瓣位Bjork-Shiley人工心脏瓣膜功能障碍的超声心动图研究
Am J Cardiol. 1977 Sep;40(3):449-53. doi: 10.1016/0002-9149(77)90170-9.