Subvalvular left ventricular pseudoaneurysm after mitral valve replacement: two-dimensional echocardiographic findings.
Subvalvular left ventricular pseudoaneurysm after mitral valve replacement: two-dimensional echocardiographic findings.
复制标题
二尖瓣置换术后瓣膜下左心室假性动脉瘤：二维超声心动图检查结果。
DOI：
10.1016/s0735-1097(85)80326-0
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发表时间：
1985
影响因子：
24
通讯作者：
Kisslo,J
中科院分区：
文献类型：
--
作者：
Carlson,EB;Wolfe,WG;Kisslo,J
二尖瓣后环破裂是二尖瓣置换术的一种罕见并发症，可导致左心室瓣下假性动脉瘤形成。一位54岁男性患者在第二次二尖瓣置换术后3年，通过二维超声心动图很容易发现这种假性动脉瘤的形成。我们报告了第一例二尖瓣置换术后二维超声心动图诊断为瓣下假性动脉瘤的患者，并最终通过电影血管造影和直接手术检查证实。认识这种二尖瓣置换术的罕见并发症具有重要的临床和治疗意义，因为未经手术矫正的预后很差。
Disruption of the posterior mitral anulus is a rare com• plication of mitral valve replacement that may result in subvalvular left ventricular pseudoaneurysm formation. Such pseudoaneurysm formation was easily recognized by two-dimensional echocardiography in a 54 year old man 3 years after his second mitral valve replacement.A rare complication of mitral valve replacement is mitral anular disruption 0-6), which may result in pseudoaneu• rysm formation. We report on the first patient in whom the two-dimensional echocardiographic diagnosis of subval• vular pseudoaneurysm after mitral valve replacement was established and ultimately confirmed by cineangiography and direct surgical inspection. Recognition of this rare com• plication of mitral valve replacement has clinical and ther• apeutic importance because its prognosis without surgical correction is poor.