经胸超声心动图评估二尖瓣-主动脉瓣间纤维假性动脉瘤
|
摘要
目的:探讨经胸超声心动图在早期诊断二尖瓣-主动脉瓣间纤维假性动脉瘤(P-MAIVF)中的应用价值。方法:回顾性分析4例P-MAIVF患者的经胸二维超声心动图(2D-TTE)与经胸三维超声心动图(3D-TTE)相关资料,并结合相关文献,寻求超声心动图的特征性表现。结果:2D-TTE显示4例患者P-MAIVF均位于二尖瓣前叶与主动脉后壁之间囊袋状无回声区,共同的特点为收缩期膨胀而舒张期塌陷,并与左心室流出道相通。3D-TTE较2D-TTE更能清楚显示P-MAIVF与周围组织结构立体空间关系,明确瘤体位置和大小。结论:将2D-TTE与3D-TTE相结合可清晰显示P-MAIVF的大小、与周围邻近组织结构的空间关系及相关并发症情况,从而提高患者P-MAIVF的诊断率。
引文
[1] Sudhakar S,Sewani A,Agrawal M,et al. Pseudoaneurysm of the mitral-aortic intervalvular fibrosa(MAIVF):A comprehensive review[J]. J Am Soc Echocardiogr,2010,23(10):1009-1018
[2] Xie M,Li Y,Cheng TO,et al. Pseudoaneurysm of the mitral-aortic intervalvular fibrosa[J]. Int J Cardiol,2013,166(1):2-7
[3] Zencirk?ran Agˇu?H,Atamaner O,Uygur B,et al. Infective endocarditis of a bicuspid aortic valve complicated by septal aneurysm and mitral-aortic intervalvular fibrosa pseudoaneurysm[J]. Turk Kardiyol Dern Ars,2018,46(2):147-150
[4] Nǎstase O,Rǎdulescu B,?erban M,et al. Pseudoaneurysm in the mitral-aortic intervalvular fibrosa-case report and literature review[J]. Echocardiography,2015,32(3):570-574
[5]?ahan E,Gül M,?ahan S,et al. Pseudoaneurysm of the mitral-aortic intervalvular fibrosa:a new comprehensive review[J]. Herz,2015,40(Suppl 2):182-189
[6] Apostolidou E,Beale C,Poppas A,et al. Pseudoaneurysm of the mitral-aortic intervalvular fibrosa:a case series with literature review[J]. CASE(Phila),2017,1(6):221-226
[7] Bonou M,Papadimitraki ED,Vaina S,et al. Mitral-aortic intervalvular fibrosa pseudoaneurysm[J]. J Cardiovasc Ultrasound,2015,23(4):257-261
[8] Turiel M,Gottardi B,Muzzupappa S. A case of subannular aortic aneurysm detected by transesophageal echocardiography[J]. Acta Cardiol,2001,56(6):395-397
[9] Romaguera R,Slack MC,Waksman R,et al. IMAGE CARDIO MED:Percutaneous closure of a left ventricular outflow tract pseudoaneurysm causing extrinsic left coronary artery compression by transseptal approach[J]. Circulation,2010,121(4):e20-e22
[10] Joshi SS,Jagadeesh AM,Furtado A,et al. Transesophageal echocardiography in surgical management of pseudoaneurysm of mitral-aortic intervalvular fibrosa with aneurysms of right sinus of Valsalva and left main coronary artery[J]. Ann Card Anaesth,2013,16(1):40-43
[11] Urmeneta Ulloa J,Galache Osuna JG,Molina Borao I,et al. Compression of the left coronary trunk by pseudoaneurysm of the mitral-aortic intervalvular fibrosa. Percutaneous treatment:which to treat first,the trunk or the pseudoaneurysm?[J]. Euro Intervention,2018,13(15):e1814-e1815
[12] Gelehrter S,Wright G,Gless T,et al. Left ventricular outflow tract pseudoaneurysms in congenital heart disease[J]. Am J Cardiol,2002,90(7):806-809
[13]Espinosa-Caliani JS,Montijano A,Melero JM,et al. Pseudoaneurysm in the mitral-aortic intervalvular fibrosa. A cause of mitral regurgitation[J]. Eur J Cardiothorac Surg,2000,17(6):757-759
[14] Ekici F,Kocaba?A,Akta?D,et al. Native aortic valve endocarditis complicated by pseudoaneurysm of mitral-aortic intervalvular fibrosa[J]. Echocardiography,2014,31(2):E60-E63
[15] Han J,He Y,Gu X,et al. Echocardiographic diagnosis and outcome of pseudoaneurysm of the mitral-aortic intervalvular fibrosa:results of a single-center experience in Beijing[J]. Medicine(Baltimore),2016,95(11):e3116
[2] Xie M,Li Y,Cheng TO,et al. Pseudoaneurysm of the mitral-aortic intervalvular fibrosa[J]. Int J Cardiol,2013,166(1):2-7
[3] Zencirk?ran Agˇu?H,Atamaner O,Uygur B,et al. Infective endocarditis of a bicuspid aortic valve complicated by septal aneurysm and mitral-aortic intervalvular fibrosa pseudoaneurysm[J]. Turk Kardiyol Dern Ars,2018,46(2):147-150
[4] Nǎstase O,Rǎdulescu B,?erban M,et al. Pseudoaneurysm in the mitral-aortic intervalvular fibrosa-case report and literature review[J]. Echocardiography,2015,32(3):570-574
[5]?ahan E,Gül M,?ahan S,et al. Pseudoaneurysm of the mitral-aortic intervalvular fibrosa:a new comprehensive review[J]. Herz,2015,40(Suppl 2):182-189
[6] Apostolidou E,Beale C,Poppas A,et al. Pseudoaneurysm of the mitral-aortic intervalvular fibrosa:a case series with literature review[J]. CASE(Phila),2017,1(6):221-226
[7] Bonou M,Papadimitraki ED,Vaina S,et al. Mitral-aortic intervalvular fibrosa pseudoaneurysm[J]. J Cardiovasc Ultrasound,2015,23(4):257-261
[8] Turiel M,Gottardi B,Muzzupappa S. A case of subannular aortic aneurysm detected by transesophageal echocardiography[J]. Acta Cardiol,2001,56(6):395-397
[9] Romaguera R,Slack MC,Waksman R,et al. IMAGE CARDIO MED:Percutaneous closure of a left ventricular outflow tract pseudoaneurysm causing extrinsic left coronary artery compression by transseptal approach[J]. Circulation,2010,121(4):e20-e22
[10] Joshi SS,Jagadeesh AM,Furtado A,et al. Transesophageal echocardiography in surgical management of pseudoaneurysm of mitral-aortic intervalvular fibrosa with aneurysms of right sinus of Valsalva and left main coronary artery[J]. Ann Card Anaesth,2013,16(1):40-43
[11] Urmeneta Ulloa J,Galache Osuna JG,Molina Borao I,et al. Compression of the left coronary trunk by pseudoaneurysm of the mitral-aortic intervalvular fibrosa. Percutaneous treatment:which to treat first,the trunk or the pseudoaneurysm?[J]. Euro Intervention,2018,13(15):e1814-e1815
[12] Gelehrter S,Wright G,Gless T,et al. Left ventricular outflow tract pseudoaneurysms in congenital heart disease[J]. Am J Cardiol,2002,90(7):806-809
[13]Espinosa-Caliani JS,Montijano A,Melero JM,et al. Pseudoaneurysm in the mitral-aortic intervalvular fibrosa. A cause of mitral regurgitation[J]. Eur J Cardiothorac Surg,2000,17(6):757-759
[14] Ekici F,Kocaba?A,Akta?D,et al. Native aortic valve endocarditis complicated by pseudoaneurysm of mitral-aortic intervalvular fibrosa[J]. Echocardiography,2014,31(2):E60-E63
[15] Han J,He Y,Gu X,et al. Echocardiographic diagnosis and outcome of pseudoaneurysm of the mitral-aortic intervalvular fibrosa:results of a single-center experience in Beijing[J]. Medicine(Baltimore),2016,95(11):e3116