Take A, Yamaguchi T, Horimi H, Kato M, Hasegawa T, Kimura S
Department of Thoracic and Cardiovascular Surgery, Jichi Medical School, Tochig, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1993 Jan;41(1):119-25.
A 13-year-old girl was hit by a car and referred to our hospital because of progressive chest discomfort, cough, ECG abnormalities and sustained hypotension. 2-D/Doppler echocardiography recorded on admission demonstrated ventricular septal perforation with L-R shunt and mitral regurgitation due to rupture of the posterior papillary muscle and its adjacent myocardium. Patch closure of the ventricular septal perforation and fixation of the papillary muscle were performed. In five years after surgery, the patient is doing well with no echocardiographic evidence of mitral regurgitation.
一名13岁女孩被汽车撞到，因进行性胸部不适、咳嗽、心电图异常和持续性低血压被转诊至我院。入院时记录的二维/多普勒超声心动图显示室间隔穿孔伴左向右分流，以及由于后乳头肌及其相邻心肌破裂导致的二尖瓣反流。进行了室间隔穿孔修补和乳头肌固定术。术后五年，患者情况良好，超声心动图未显示二尖瓣反流迹象。
