Hirooka S, Shimanuki T, Abe K, Iijima Y, Abiko M, Washio M
Second Department of Surgery, Yamagata University, School of Medicine, Japan.
Kyobu Geka. 1993 Sep;46(10):880-2.
A case of aneurysm of the mitral valve associated with aortic valve regurgitation is presented. The patient was 45-years-old female who complained of palpitation and underwent both aortic and mitral valve replacement. We could not detect the aneurysm by the transthoracic echocardiography because of it's small size (14 mm in diameter). The transesophageal echocardiography showed the aneurysm of the anterior mitral valve leaflet toward the left atrium clearly. This report describes that transesophageal echocardiography appears to be available for accurate diagnosis of the mitral valve disease, especially for the mitral valve aneurysm.
本文报告一例二尖瓣动脉瘤合并主动脉瓣反流的病例。患者为45岁女性,主诉心悸,接受了主动脉瓣和二尖瓣置换术。由于动脉瘤尺寸较小(直径14毫米),经胸超声心动图未能检测到该动脉瘤。经食管超声心动图清晰显示二尖瓣前叶朝向左心房的动脉瘤。本报告表明,经食管超声心动图似乎可用于准确诊断二尖瓣疾病,尤其是二尖瓣动脉瘤。