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二尖瓣 脱垂

Overview

二尖瓣 valve prolapse (MVP) occurs when the two leaflets — flap-like doors — of the heart's mitral valve fail to form a tight seal. The mitral valve controls blood flow between the upper and lower chambers of the heart's left side, and a tight seal is key for keeping blood moving in the right direction.

A healthy mitral valve keeps a tight seal by opening and closing quickly and completely. 但有时还有年龄等因素, genetics or anatomical differences cause the mitral valve to loosen or bulge a bit, 哪些十大赌博平台排行榜称之为“脱垂”." When prolapse occurs, the mitral valve may allow some blood to move back into the lungs.

Our Approach to 二尖瓣 阀 脱垂

加州大学旧金山分校, patients with mitral valve prolapse are treated by a team of specialists in heart valve problems, including interventional cardiologists and cardiothoracic surgeons. We offer the full range of treatments, from medications to minimally invasive surgery to repair or replace the valve. Compared with traditional open heart surgery, minimally invasive procedures have many benefits for patients, 包括更快的恢复, less postoperative pain and minimal scarring.

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迹象 & 症状

A mild mitral valve prolapse often doesn't cause any 症状. Symptoms of a significant prolapse may include:

  • 呼吸急促(气促)
  • Bursts of rapid heartbeat (palpitations)
  • 胸部不适
  • 乏力

诊断

通常, people have mitral valve prolapse at birth, but it can also develop with age due to normal wear and tear of the heart. Either way, a doctor can detect MVP by listening to the heart with a stethoscope. A prolapsing valve may make a clicking sound as it opens and shuts. It may also make a whooshing sound as blood moves into the lungs. In fact, MVP was once known as "click-murmur syndrome."

If a mitral valve prolapse is suspected, your doctor may order one of the following diagnostic tests:

  • 超声心动图 利用声波 to create a moving image of the heart at work
  • 胸部x光片 查找 fluid in the lungs or an enlarged heart
  • 心电图(心电图) 测量心脏的 电活动 to determine how fast it's beating and if the rhythm is steady

治疗

In many cases, mitral valve prolapse doesn't cause any 症状 and doesn't require treatment. If mild 症状 or irregularities arise, they can often be controlled with medication, 比如受体阻滞剂, 可以缓解不适. Other moderate 症状 can also be corrected with medication, such as digoxin to strengthen the heartbeat, blood thinners to reduce the risk of clots and vasodilators to relax the blood vessels. However, if the problem worsens, surgery may be the best option.

Most prolapsing valves can be repaired with a minimally invasive procedure called keyhole surgery. A surgeon will make a small incision on the right side of the chest, 然后穿一根长长的线, 苗条的, robotic-assisted endoscope between two ribs to reach the heart. 与心脏直视手术相比, this approach results in less pain, less blood loss and a faster recovery time.

加州大学旧金山分校健康 medical specialists have reviewed this information. It is for educational purposes only and is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider.

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