Waller B, Howard J, Fess S
Cardiovascular Pathology Registry, Indianapolis, Indiana.
Clin Cardiol. 1994 Apr;17(4):208-14. doi: 10.1002/clc.4960170412.
This 2-part article discusses general morphologic assessment of operatively excised cardiac valves and applies these principles to functional classifications. All cardiac valves are categorized into stenotic and purely regurgitant (no element of stenosis) groups based upon structural features: presence or absence of commissural fusion, calcific deposits, and degree and location of fibrosis. Of 2,980 operatively excised cardiac valves reviewed between 1962 and 1992, the most common lesion was aortic stenosis, followed by mitral stenosis and the combination of aortic and mitral stenosis.
这篇分为两部分的文章讨论了手术切除心脏瓣膜的一般形态学评估，并将这些原则应用于功能分类。根据结构特征，所有心脏瓣膜分为狭窄组和单纯反流组（无狭窄成分）：有无瓣叶融合、钙化沉积以及纤维化的程度和部位。在1962年至1992年间接受评估的2980个手术切除的心脏瓣膜中，最常见的病变是主动脉瓣狭窄，其次是二尖瓣狭窄以及主动脉瓣和二尖瓣狭窄合并存在。
