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英文誌(2004-)

Journal of Medical Ultrasonics

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1988 - Vol.15

Vol.15 No.04

Case Report(症例報告)

(0355 - 0360)

左室内の異常高速血流により診断し得たNjörk-Shiley僧帽弁機能不全の2例

Acceleration Flow Observed in Patients with Paravalvular Leakage of The Björk-Shiley Prosthesis

前西 文秋, 吉川 純一, 吉田 清, 赤阪 隆史, 赤土 正洋, 城 泰子, 八木 登志員, 加藤 洋

Fumiaki MAENISHI, Junichi YOSHIKAWA, Kiyoshi YOSHIDA, Takashi AKASAKA, Masahiro SHAKUDO, Yasuko JYO, Toshikazu YAGI, Hiroshi KATO

神戸市立中央市民病院循環器センター

Department of Cardiology, Kobe General Hospital

キーワード : Paravalvular leakage, Color flow mapping, Mechanical prosthetic valve

Two patients with the Björk-Shiley mitral prosthesis showing paravalvular leakage were presented. In those patients, M-mode echocardiography showed hyperkinetic motion of the left ventricle and early diastolic hump of the disk. Using color flow mapping, systolic abnormal flow signal in the vicinity of the suspected dehisence was observed in the left ventricle, while the mitral regurgitant jet in the left atrium could not be visualized in both patients because of artifacts. We concluded that Doppler color flow mapping is useful in detecting paravalvular leakage due to mechanical prosthetic valve dysfunction in the mitral position.