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二尖瓣修复术和室间隔肌切除术治疗肥厚型心肌病

Treatment of hypertrophic cardiomyopathy by mitral valve repair and septal myectomy.

作者信息

Joyce F S, Lever H M, Cosgrove D M

机构信息

Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic Foundation, OH 44195.

出版信息

Ann Thorac Surg. 1994 Apr;57(4):1025-7. doi: 10.1016/0003-4975(94)90233-x.

DOI:10.1016/0003-4975(94)90233-x
PMID:8166504
Abstract

This report describes surgical treatment consisting of mitral valve repair and septal myectomy in a young patient with a combination of hypertrophic cardiomyopathy and intrinsic mitral valve disease. The posterior mitral valve leaflet was elongated and was subject to systolic anterior motion, creating left ventricular outflow tract obstruction. With the described treatment, it was possible to avoid mitral valve replacement in this patient.

摘要

本报告描述了一名年轻患者的手术治疗,该患者患有肥厚型心肌病和原发性二尖瓣疾病,接受了二尖瓣修复和室间隔心肌切除术。二尖瓣后叶延长,并出现收缩期前向运动,导致左心室流出道梗阻。通过上述治疗,该患者得以避免二尖瓣置换。

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引用本文的文献

1
[Mitral valve replacement for three cases of hypertrophic obstructive cardiomyopathy--surgical treatment].
Jpn J Thorac Cardiovasc Surg. 1998 Aug;46(8):747-52. doi: 10.1007/BF03217814.