Herzkrankheiten pp 1192-1232 | Cite as

Mitralstenose

Allgemein Vorbemerkungen über erworbene Herzklappenfehler
  • J. Barmeyer
  • H. Roskamm
  • H. Eichstädt
  • G. Csapo
  • H. J. Gabriel
  • H. Reindell
  • P. Bubenheimer
  • J. Petersen
  • Ch. Gohlke-Bärwolf
  • H. Gohlke

Zusammenfassung

In den folgenden Kapiteln 45–49 sollen die Herzklappenfehler Mitralstenose, Mitralinsuffizienz, Aortenstenose, Aorteninsuffizienz, Tricuspidalstenose und Tricuspidalinsuffizienz abgehandelt werden. Mit Ausnahme der isolierten Aortenstenose sind diese Herzklappenfehler überwiegend als erworben anzunehmen. Als solche sind sie in über 90% der Fälle die Folge einer rheumatischen Karditis unter Mitbeteiligung des Klappenendokards. Aufgrund einer großen Verlaufsuntersuchung ist nach einem rheumatischen Fieber während der Kindheit in etwa 70% mit der einen oder anderen Form einer rheumatischen Herzerkrankung, zumeist einem Befall einer oder mehrerer Herzklappen zu rechnen (Bland u. Duckett Jones 1951). In einer weiteren Verlaufsstudie über mehr als 20 Jahre entwickelt sich in mehr als 80% ein Ein- oder Mehr-Klappen-Fehler (Wilson u. Lim 1957). Am häufigsten, in etwa 35% (Wilson u. Lim 1957) bis zu 58% (Grosse-Brockhoff et al. 1960) war die Mitralklappe befallen. Ungefähr ein Viertel bis ein Drittel der Patienten mit einem Mitralvitium wies gleichzeitig einen Aortenklappenfehler auf. Hämodynamisch bedeutsame Tricuspidalfehler sind dagegen vergleichsweise selten und machen etwa 5% aller rheumatischen Klappenerkrankungen aus. Eine ausgesprochene Rarität stellt die rheumatische Erkrankung der Pulmonalklappe dar. Eine isolierte rheumatische Erkrankung der Tricuspidal- oder Pulmonalklappe konnte bisher nicht beobachtet werden (Hudson 1965).

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Copyright information

© Springer-Verlag Berlin Heidelberg 1982

Authors and Affiliations

  • J. Barmeyer
  • H. Roskamm
  • H. Eichstädt
  • G. Csapo
  • H. J. Gabriel
  • H. Reindell
  • P. Bubenheimer
  • J. Petersen
  • Ch. Gohlke-Bärwolf
  • H. Gohlke

There are no affiliations available

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