[重度主动脉瓣反流伴主动脉瓣环明显增厚：一例报告]
[Severe aortic regurgitation with marked thickening of the aortic annulus: a case report].
作者信息
Sugiyama Y, Hirai H, Ohta A, Inoue T, Lee T, Harada M, Suzuki M, Tamura S, Shiroma K, Ebine K, Takahashi K, Yamaguchi T
机构信息
Third Department of Internal Medicine, Ohashi Hospital, Toho University School of Medicine, Tokyo.
出版信息
J Cardiol. 1997;29 Suppl 2:81-6.
A 74-year-old woman with severe aortic regurgitation and marked thickening of the aortic annulus received aortic valve replacement. Transesophageal echocardiography demonstrated marked thickening of the aortic annulus. The maximum thickness of the aortic annulus was about 11 mm at the side of the right coronary cusp. Histological examination revealed non-specific inflammation of the aortic annulus and aortic valve chiefly composed of lymphocytes and plasma cells. Thickening of the aortic annulus associated with inflammatory aortitis was the cause of aortic regurgitation in this patient.
一名74岁患有严重主动脉瓣反流且主动脉瓣环明显增厚的女性接受了主动脉瓣置换术。经食管超声心动图显示主动脉瓣环明显增厚。在右冠状动脉瓣一侧，主动脉瓣环的最大厚度约为11毫米。组织学检查显示主动脉瓣环和主动脉瓣存在以淋巴细胞和浆细胞为主的非特异性炎症。与炎症性主动脉炎相关的主动脉瓣环增厚是该患者主动脉瓣反流的原因。
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