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风湿性二尖瓣狭窄乳头肌受累的心血管造影诊断

Cineangiographic diagnosis of papillary muscle involvement in rheumatic mitral stenosis.

作者信息

Szamosi A

出版信息

Acta Radiol Diagn (Stockh). 1977 Sep;18(5):561-9. doi: 10.1177/028418517701800509.

DOI:10.1177/028418517701800509
PMID:930631
Abstract

Left ventricular cineangiography was performed in 25 patients with normal mitral valves and in 49 patients with rheumatic mitral valve disease to estimate the spatial relations between the mitral valve leaflets and papillary muscles. The findings in the pathologic group were compared with observations at operation or with the excised mitral valves. It is concluded that fusion of the papillary muscles with the mitral valve leaflet or severe shortening of the chordae is predicted with a reasonable accuracy preoperatively by means of left ventricular cineangiography. The surgical implications are discussed.

摘要

对25例二尖瓣正常的患者和49例风湿性二尖瓣疾病患者进行了左心室造影,以评估二尖瓣叶与乳头肌之间的空间关系。将病理组的结果与手术观察结果或切除的二尖瓣进行了比较。结论是,通过左心室造影术术前能以合理的准确性预测乳头肌与二尖瓣叶的融合或腱索的严重缩短。并对手术意义进行了讨论。

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