Virmani R, Roberts W C
Circulation. 1977 Apr;55(4):559-63. doi: 10.1161/01.cir.55.4.559.
Among 481 patients undergoing various mitral valve operations, Aschoff bodies were found in 40 (21%) of 191 operatively excised left atrial appendages, in four (2%) of 273 operatively excised left ventricular papillary muscles (1 per patient), and in one (6%) of 17 patients with both left atrial appendage and papillary muscle operatively excised. Of the total of 45 patients with Aschoff bodies, 44 preoperatively had mitral stenosis, and only one, a 10-year-old boy, had pure mitral regurgitation. Sinus rhythm was present in 38 (84%), and atrial fibrillation in seven (16%). Perioperatively, only one of the 45 patients with Aschoff bodies had clinical or laboratory stigmata compatible with acute rhematic fever, and 58% had an illness compatible with acute rheumatic fever at any time.
在481例接受各种二尖瓣手术的患者中，191例手术切除的左心耳中有40例（21%）发现有阿绍夫小体，273例手术切除的左心室乳头肌（每位患者1块）中有4例（2%）发现有阿绍夫小体，17例同时手术切除左心耳和乳头肌的患者中有1例（6%）发现有阿绍夫小体。在总共45例有阿绍夫小体的患者中，44例术前有二尖瓣狭窄，只有1例10岁男孩有单纯二尖瓣反流。窦性心律者38例（84%），心房颤动者7例（16%）。围手术期，45例有阿绍夫小体的患者中只有1例有与急性风湿热相符的临床或实验室体征，58%的患者在任何时候都有与急性风湿热相符的疾病。
