[巨型三尖瓣环钙化与脊柱侧凸:两者之间有联系吗?]

IF 0.7 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Gabriella Bufano, Pietro Mazzeo, Maria Delia Corbo, Vincenzo Fioretti, Costantino Smaldone, Eugenio Stabile
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引用次数: 0

摘要

虽然二尖瓣环钙化是纤维性二尖瓣环的一种常见退行性病变,但三尖瓣环钙化,尤其是孤立性三尖瓣环钙化却十分罕见。我们报告了一例 73 岁男性患者的病例,他有高血压和严重脊柱侧弯病史,因进行性呼吸困难和腿部肿胀而转诊至急诊科。超声心动图显示右心扩张,沿三尖瓣环有一均匀、高回声、新月形肿块。计算机断层扫描证实了病变的钙化性质。右心导管检查发现轻度毛细血管前肺动脉高压和轻度肺活量定义的限制性通气缺陷。近来,脊柱后凸与心脏变形的改变以及限制性肺部疾病风险的增加有关。在我们的患者中,我们假设这两种异常都可能导致三尖瓣环过早变性,造成巨大的三尖瓣钙化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Giant tricuspid annular calcification and kyphoscoliosis: is there a link?]

Although mitral annular calcification is a common degenerative condition of the fibrous mitral annulus, tricuspid annular calcification, especially isolated, is rare. We report the case of a 73-year-old male, with a history of hypertension and severe kyphoscoliosis, referred to the emergency department for progressive dyspnea and leg swelling. Echocardiography revealed a dilated right heart with a homogeneous, hyperechoic, crescent shaped mass along the tricuspid annulus. Computed tomography confirmed the calcific nature of the lesion. Right heart catheterization revealed mild pre-capillary pulmonary hypertension and a mild spirometrically-defined restrictive ventilatory defect. Kyphoscoliosis has recently been associated with alterations in cardiac deformation and with an increased risk of restrictive lung disease. In our patient, we hypothesized that both these anomalies could have led to premature tricuspid annular degeneration resulting in a giant tricuspid calcification.

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Giornale italiano di cardiologia
Giornale italiano di cardiologia CARDIAC & CARDIOVASCULAR SYSTEMS-
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