Terashima M, Hayakawa M, Awano K, Masuda J, Mori T, Emoto R, Hattori K, Fukabori Y, Inatome T, Maeda K, Nakamura H, Tobe S, Azami T
Department of Cardiology, Miki City Hospital, Hyogo.
J Cardiol. 1998;31 Suppl 1:97-101; discussion 102-3.
A 49-year-old man was found to have a heart murmur at a local hospital and was referred to our hospital for further examination. Although he had no signs of congestive heart failure, echocardiography and cardiac catheterization showed severe pulmonary hypertension caused by severe mitral regurgitation. Mitral valve replacement was performed, followed by reduction of pulmonary artery pressure. This patient had an unusual combination of no signs of lung congestion despite severe mitral regurgitation with pulmonary hypertension.
一名49岁男性在当地医院被发现有心脏杂音，随后被转诊至我院做进一步检查。尽管他没有充血性心力衰竭的体征，但超声心动图和心导管检查显示，严重二尖瓣反流导致了严重的肺动脉高压。患者接受了二尖瓣置换术，随后肺动脉压力降低。该患者有一个不同寻常的情况，即尽管存在严重二尖瓣反流并伴有肺动脉高压，但却没有肺充血的体征。
