Mitral Regurgitation Due to Degenerative Mitral-Valve Disease

被引：24

作者：

Foster, Elyse ^{[1
]}

机构：

[1] Univ Calif San Francisco, Div Cardiol, San Francisco, CA 94143 USA

来源：

NEW ENGLAND JOURNAL OF MEDICINE | 2010年 / 363卷 / 02期

关键词：

TERM-FOLLOW-UP; SURGICAL-CORRECTION; NATRIURETIC PEPTIDE; NATURAL-HISTORY; FLAIL LEAFLETS; PROLAPSE; REPAIR; OUTCOMES; SURVIVAL; COMPLICATIONS;

D O I：

10.1056/NEJMcp0906782

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 44-year-old man presents with dyspnea and new atrial fibrillation. He received a diagnosis of mitral regurgitation at 28 years of age, after physical examination revealed a midsystolic click and late-systolic murmur; echocardiography performed at that time showed mitral-valve prolapse with mild late-systolic mitral regurgitation and normal left ventricular size and function. He has not seen a physician in many years. Physical examination reveals a holosystolic murmur and a soft S-3 sound. Repeat echocardiography shows a flail posterior leaflet and moderately severe mitral regurgitation. How should this case be managed?

引用

页码：156 / 165

页数：10

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