经食管超声心动图诊断二尖瓣血性囊肿致左心室流出道狭窄一例

doi:10.3877/cma.j.issn.1672-6448.2020.02.020

中华医学超声杂志（电子版） ›› 2020, Vol. 17 ›› Issue (02) : 188 -189. doi: 10.3877/cma.j.issn.1672-6448.2020.02.020

所属专题：经典病例；文献；

病例报告

经食管超声心动图诊断二尖瓣血性囊肿致左心室流出道狭窄一例

杨红萍¹, 马小静¹^,^†(

), 何亚峰¹, 何俊¹

^1. 430022　武汉亚洲心脏病医院超声科

收稿日期:2019-05-03 出版日期:2020-02-22
通信作者: 马小静

Diagnosis of left ventricular outflow tract stenosis caused by mitral hemorrhagic cyst by transesophageal echocardiography: a case report

Hongping Yang¹, Xiaojing Ma¹(), Yafeng He¹

Received:2019-05-03 Published:2020-02-22
Corresponding author: Xiaojing Ma

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杨红萍, 马小静, 何亚峰, 何俊. 经食管超声心动图诊断二尖瓣血性囊肿致左心室流出道狭窄一例[J]. 中华医学超声杂志（电子版）, 2020, 17(02): 188-189.

Hongping Yang, Xiaojing Ma, Yafeng He. Diagnosis of left ventricular outflow tract stenosis caused by mitral hemorrhagic cyst by transesophageal echocardiography: a case report[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2020, 17(02): 188-189.

动态图1 二尖瓣血性囊肿经食管二维超声心动图表现。动态图示左心室腔内巨大肿块，附着于二尖瓣前瓣，随心动周期于左心室腔与左心室流出道之间来回摆动

动态图2 二尖瓣血性囊肿经食管超声心动图彩色多普勒血流显像表现。动态图示收缩期肿块致左心室流出道狭窄，主动脉瓣口血流呈花色，二尖瓣口可见重度反流信号

动态图3 二尖瓣血性囊肿切除手术术中所见。动态图示术中可见左心室内肿块侵犯二尖瓣前瓣，切除二尖瓣前瓣瓣叶，完整剥离肿块，切除其侵及的乳头肌及腱索，完整摘除瘤体

1	Bagheri A, Ansariaval Z, Khani M, et al. Two adherent blood cysts in subvalvular apparatus of the mitral valve causing severe left ventricular outflow tract obstruction [J]. J Cardiol Cases, 2018, 18(2): 78-80.
2	Pavsic N, Dolenc-Strazar Z, Cerne Cercek A, et al. Coronary Artery Embolism From a Blood Cyst of the Mitral Valve [J]. Heart Lung Circ, 2017, 26(12): e118-e120.
3	Ahmad F, Barbant S, Levy T. Giant Blood Cyst of the Mitral Valve in a Disseminated Tuberculosis Patient [J]. Echocardiography, 2016, 33(6): 920-922.
4	Zimmerman KG, Paplanus SH, Dong S, et al. Congenital blood cysts of the heart valves [J]. Hum Pathol, 1983, 14(8): 699-703.
5	Park MH, Jung SY, Youn HJ, et al. Blood cyst of subvalvular apparatus of the mitral valve in an adult [J]. J Cardiovasc Ultrasound, 2012, 20(3): 146-149.

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