三尖瓣关闭不全与房间隔破裂：钝性胸部创伤后持续性全身性低氧血症的一个原因。

Tricuspid insufficiency and interatrial septum rupture: a cause of persistent systemic hypoxemia after blunt chest trauma.

作者信息

Pereira J, Oliver J M, Mateos M, Cerrón F, Maseda E, Cabestrero D, Sobrino J A

机构信息

Cardiology (Medical and Surgical) Unit, Hospital General La Paz, Universidad Autónoma, Madrid, Spain.

出版信息

J Am Soc Echocardiogr. 2000 Jan;13(1):64-5. doi: 10.1016/s0894-7317(00)90045-2.

DOI:10.1016/s0894-7317(00)90045-2

PMID:10625834

Abstract

The case of a 45-year-old man with severe tricuspid insufficiency and interatrial septum rupture caused by a car accident is described. The patient had a rupture of the anterior papillary muscle of the tricuspid valve and right-to-left shunt through an interatrial defect with severe hypoxemia that was difficult to distinguish from that caused by pulmonary damage. Transesophageal echocardiography was extremely useful for early diagnosis.

摘要

本文描述了一名45岁男性患者的病例，其因车祸导致严重三尖瓣关闭不全和房间隔破裂。患者三尖瓣前乳头肌破裂，通过房间隔缺损出现右向左分流，伴有严重低氧血症，难以与肺部损伤所致低氧血症相鉴别。经食管超声心动图对早期诊断极为有用。