Tanaka K, Sasaki T, Higashi S, Hashimoto K, Onoguchi K, Aoki I, Takeuchi S, Arai T
Department of Cardiovascular Surgery, Saitama Ohara Cardiovascular Center, Japan.
Kyobu Geka. 1997 Aug;50(9):781-4.
The patient, who had an aortic stenosis, suddenly complicated with severe acute cardiac failure. The rupture of the mitral chordae tendineae was detected by the echocardiogram. Double replacements (aortic and mitral) were done immediately after the onset of chordae rupture. This condition, combination of aortic stenosis and sudden onset of chordae rupture, always results in severe heart failure which is explained by the combination of pressure and volume loading. Finally the emergent operation is believed to be an only solution for this situation.
该患者患有主动脉瓣狭窄，突然并发严重急性心力衰竭。超声心动图检测到二尖瓣腱索破裂。腱索破裂发生后立即进行了双瓣膜置换术（主动脉瓣和二尖瓣）。这种主动脉瓣狭窄与腱索突然破裂相结合的情况，总会导致严重心力衰竭，这是由压力和容量负荷共同作用所致。最后，急诊手术被认为是应对这种情况的唯一解决办法。
