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经食管超声心动图诊断感染性心内膜炎继发二尖瓣穿孔

[Transesophageal echocardiography diagnosis of perforation of the mitral valve secondary to infective endocarditis].

作者信息

Mora Llabata V, Salvador Sanz A, Martínez Dolz L, Miró Palau V, Almenar Bonet L, Sotillo Martí J F, Algarra Vidal F J

机构信息

Servicio de Cardiología, Hospital Universitario La Fe, Valencia.

出版信息

Rev Esp Cardiol. 1993 Feb;46(2):122-4.

PMID:8451483
Abstract

We report on a patient with infective endocarditis and severe mitral regurgitation secondary to perforation in the base of the posterior mitral leaflet. Transthoracic echocardiography was inconclusive. Only transesophageal echocardiography could confirm the presence of vegetations, their characteristics and the existence of valvular perforation. We also review the literature on the contribution of transesophageal echocardiography to the diagnosis of infective endocarditis and its complications.

摘要

我们报告了一例患有感染性心内膜炎及严重二尖瓣反流的患者,二尖瓣反流继发于二尖瓣后叶瓣基底部穿孔。经胸超声心动图检查结果不明确。只有经食管超声心动图能够确认赘生物的存在、其特征以及瓣膜穿孔的情况。我们还回顾了关于经食管超声心动图在感染性心内膜炎及其并发症诊断中的作用的文献。

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