Abstract：
Pre-participation screening and management of congenital cardiac valvulopathy in competitive athletes can be challenging, particularly within the context of ultra-endurance disciplines. A 55-year-old female athlete without a reported history of cardiac disease exhibited clinical signs of cardiogenic pulmonary edema during a 156 km ultra-trail race. The echocardiographic assessment revealed the presence of a parachute mitral valve, with no evidence of mitral stenosis or regurgitation at rest, but it demonstrated severe dynamic mitral stenosis during exercise. In competitive athletes, the detection of rare valvulopathy should prompt a comprehensive cardiac evaluation aimed at assessing the potential for dynamic valvular dysfunction.
摘要：
在竞技运动员中进行先天性心脏瓣膜病的参与前筛查和管理可能具有挑战性，特别是在超耐力学科的背景下。一名55岁的女运动员没有心脏病史，在156公里的超跑比赛中表现出心源性肺水肿的临床症状。超声心动图评估显示存在降落伞二尖瓣，没有二尖瓣狭窄或休息时反流的证据，但在运动过程中表现出严重的动态二尖瓣狭窄。在竞技运动员中，罕见瓣膜病变的检测应促使全面的心脏评估,旨在评估动态瓣膜功能障碍的可能性.
