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二尖瓣人工瓣膜梗阻并发大量肺出血。

Massive pulmonary hemorrhage complicating mitral prosthetic valve obstruction.

作者信息

Michielon G, Mullany C J, Viggiano R W, Brutinel W M

机构信息

Division of Cardiothoracic Surgery, Mayo Foundation, Rochester, Minn. 55905.

出版信息

Chest. 1993 Jun;103(6):1903-5. doi: 10.1378/chest.103.6.1903.

DOI:10.1378/chest.103.6.1903
PMID:8404127
Abstract

A case is reported of prosthetic mitral valve obstruction in a patient who had had three hospital admissions with massive hemoptysis. A diagnosis was finally made after two-dimensional echocardiography with Doppler and cardiac catheterization were performed. The patient was successfully treated with re-replacement of the valve. Any new pulmonary or cardiac symptom in a patient with a prosthetic valve requires prompt evaluation and treatment.

摘要

报道了一例人工二尖瓣梗阻病例,该患者曾三次因大量咯血入院。在进行二维超声心动图、多普勒检查及心导管检查后最终确诊。患者通过再次瓣膜置换成功治愈。人工瓣膜患者出现任何新的肺部或心脏症状都需要及时评估和治疗。

相似文献

1
Massive pulmonary hemorrhage complicating mitral prosthetic valve obstruction.二尖瓣人工瓣膜梗阻并发大量肺出血。
Chest. 1993 Jun;103(6):1903-5. doi: 10.1378/chest.103.6.1903.
2
Hemoptysis, recurrent cerebrovascular accident, and emergency mitral valve replacement.咯血、复发性脑血管意外和急诊二尖瓣置换术。
Clin Cardiol. 1980 Jun;3(3):204-6. doi: 10.1002/clc.4960030310.
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Replacement of an immobile prosthetic mitral valve: a case report.置换固定的人工二尖瓣:一例病例报告。
Tex Heart Inst J. 1999;26(3):226-8.
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Diagnosis of prosthetic heart valve thrombosis. The respective values of transthoracic and transoesophageal Doppler echocardiography.人工心脏瓣膜血栓形成的诊断。经胸和经食管多普勒超声心动图的各自价值。
Eur Heart J. 1993 Apr;14(4):447-55. doi: 10.1093/eurheartj/14.4.447.
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Massive hemorrhage from bronchial varices in mitral stenosis.二尖瓣狭窄患者支气管静脉曲张大量出血。
Surgery. 1967 Apr;61(4):556-60.
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Noninvasive diagnosis of prosthetic mitral valve malfunction.
Radiology. 1979 Apr;131(1):185-6. doi: 10.1148/131.1.185.
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Mitral stenosis, massive pulmonary hemorrhage, and emergency valve replacement.
N Engl J Med. 1966 Oct 6;275(14):755-8. doi: 10.1056/NEJM196610062751404.
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Unique Doppler pattern of "obstruction alternans" of a St Jude prosthetic mitral valve.
J Am Soc Echocardiogr. 2003 Aug;16(8):890-3. doi: 10.1067/S0894-7317(03)00323-7.
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Prosthetic mitral valve obstruction: role of real-time three-dimensional transesophageal echocardiography in diagnosis.人工二尖瓣狭窄:实时三维经食管超声心动图在诊断中的作用
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[Emergent Re-do Mitral Valve Replacement for Prosthetic Valve Endocarditis with Increasing Obstruction of Mitral Valve].[因二尖瓣梗阻加重行急诊再次二尖瓣置换术治疗人工瓣膜心内膜炎]
Kyobu Geka. 2018 Dec;71(13):1084-1087.

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Massive haemoptysis complicating prosthetic patch pulmonary embolism after atrial septal defect repair.房间隔缺损修复术后人工补片肺动脉栓塞并发大量咯血。
Thorax. 1995 Aug;50(8):911-2. doi: 10.1136/thx.50.8.911.