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【转帖】心脏超声病例分析擂台赛(47)----已公布答案

超声科医师 · 最后编辑于 2006-03-04 · IP 北京北京
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这个帖子发布于 19 年零 126 天前,其中的信息可能已发生改变或有所发展。
Case 047 - A Patient After Aortic Valve Replacement
History
A 77-year-old male underwent aortic valve replacement for aortic stenosis. The operative course was uneventful and the patient is doing well. His exercise capacity has gradually improved since the operation, and now, 2 months later, he returns for a routine echocardiogram to evaluate prosthetic valve function.
1. Which choice best describes the findings on this ECHO?
A A mechanical aortic valve with normal regurgitation
B Bioprosthesis with valvular regurgitation
C Bioprosthesis with paravalvular regurgitation
D This must be a different patient -- he does not have an aortic valve prosthesis!

病例47----主动脉瓣置换后
病史:患者,男,77岁,由于主动脉瓣狭窄行主动脉瓣置换术。手术顺利,患者恢复良好。术后他的运动耐量有所提高。2个月后,他进行了常规超声心动图检查以评价置换后的瓣膜功能。

问题:下列哪项是对此超声表现的最佳描述?
A 主动脉瓣机械瓣伴正常返流
B 生物瓣伴瓣膜返流
C 生物瓣伴瓣周漏
D 这肯定是另外一个患者的超声心动图----他没有进行主动脉瓣置换!
[iframe] http://www.medscape.com/content/2002/00/44/44/444440/case047.l01.quest.html [/iframe]
[iframe] http://www.medscape.com/content/2002/00/44/44/444440/case047.l04.quest.html [/iframe]
[iframe] http://www.medscape.com/content/2002/00/44/44/444440/case047.l06.quest.html [/iframe]
[iframe] http://www.medscape.com/content/2002/00/44/44/444440/case047.l09.quest.html [/iframe]



















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