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左心室心尖部舒张期塌陷:术后心脏压塞一种不常见的超声心动图标志物。

Left ventricular apical diastolic collapse: an unusual echocardiographic marker of postoperative cardiac tamponade.

作者信息

Kuvin J T, Khabbaz K, Pandian N G

机构信息

Division of Cardiology, Cardiovascular Imaging and Hemodynamic Laboratory, Boston, MA, USA.

出版信息

J Am Soc Echocardiogr. 1999 Mar;12(3):218-20. doi: 10.1016/s0894-7317(99)70139-2.

Abstract

A 37-year-old woman was evaluated for signs and symptoms of cardiac tamponade 11 days after mitral valve replacement and tricuspid valve repair. The transthoracic echocardiogram showed a large, compartmentalized pericardial effusion that resulted in left ventricular apical diastolic collapse. Also noted were right ventricular posterior wall diastolic collapse and hemodynamic findings consistent with cardiac tamponade. This case highlights the atypical echocardiographic findings in patients with pericardial effusions after cardiac surgery.

摘要

一名37岁女性在二尖瓣置换和三尖瓣修复术后11天,因心脏压塞的体征和症状接受评估。经胸超声心动图显示有一个巨大的、分隔的心包积液,导致左心室心尖舒张期塌陷。还注意到右心室后壁舒张期塌陷以及与心脏压塞相符的血流动力学表现。该病例突出了心脏手术后心包积液患者的非典型超声心动图表现。

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