Parachute mitral valve associated with reticular chordae tendineae in an adult: case report.

Parachute mitral valve associated with reticular chordae tendineae in an adult: case report.
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成人降落伞二尖瓣与网状腱索相关:病例报告

DOI:
10.1186/s13019-021-01448-4
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发表时间:
2021-04-09
影响因子:
1.6
通讯作者:
Cheng HF
Cheng HF
中科院分区:
医学4区
文献类型:
--
作者:
Duan QJ;Duan CT;Dong AQ;Cheng HF

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背景伞状二尖瓣伴网状腱索是一种极为罕见的畸形。病例报告我们报告一例成人伞状二尖瓣伴网状腱索的病例。是通过超声心动图诊断的。患者被转诊接受手术。瓣膜分析显示二尖瓣瓣叶和接合处增厚。腱索长而粗。所有腱索合并成一个孤立的乳头肌。在二尖瓣装置上发现了一种独特的网状纤维组织,因为腱索相互混合。左心房和左心室之间的唯一功能性沟通是通过网状间隙。这种异常被认为是不可修复的,取而代之的是一个机械valve.ConclusionsAn非常罕见和独特的情况下,降落伞二尖瓣与网状腱索的报道。对于网状腱索的降落伞二尖瓣患者,二尖瓣置换术是一种合理的选择。
BackgroundParachute mitral valve with reticular chordae tendineae is an extremely rare anomaly.Case presentationWe present a case of parachute mitral valve associated with distinctive reticular chordae tendineae in an adult. It was diagnosed from the echocardiogram. The patient was referred for surgery. Valve analysis showed thickened mitral valve leaflets and commissures. The chordae tendinae were lengthy and thick. All the chordae tendinae merged into a solitary papillary muscle. A distinctive reticular fibrous tissue was found on mitral valve apparatus as the chordae tendinae intermixed each other. The only functional communication between the left atrium and the left ventricle was through the reticular spaces. This anomaly was considered to be unrepairable and was replaced with a mechanical valve.ConclusionsAn extremely rare and unique case of parachute mitral valve associated with reticular chordae tendineae was reported. Mitral valve replacement is a reasonable choice in patients with parachute mitral valve with reticular chordae tendineae.
DOI: 10.1161/01.cir.0000129269.98460.c8
发表时间: 2004-05-18
期刊: CIRCULATION
影响因子: 37.8
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