超声心动图诊断主动脉瓣周脓肿贯通主动脉与左室流出道1例

Echocardiographic diagnosis of perivalvular aortic abscess penetrating aorta and left ventricular outflow tract:a case report

患者男,55岁,因胸痛、发热半个月伴胸闷、气短、咳嗽、咳痰于外院就诊,超声心动图提示:主动脉瓣二叶式畸形伴重度反流;冠状动脉造影示左前降支近段中重度狭窄,中远段中度狭窄。患者现来我院就诊,体格检查:心界扩大,律齐,主动脉瓣听诊区闻及Ⅲ期/6级收缩期喷射样杂音。