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[房间隔脂肪性肥厚:经食管超声心动图和计算机断层扫描诊断]

[Lipomatous hypertrophy of the interauricular septum: diagnosis with transesophageal echocardiography and computerized tomography].

作者信息

de la Morena G, Salas J, Picó F, Campos J V, Ruipérez J A, Torralba M

机构信息

Servicio de Cardiología, Hospital Universitario Virgen de la Arrixaca, Murcia.

出版信息

Rev Esp Cardiol. 1992 Aug-Sep;45(7):480-2.

PMID:1439073
Abstract

Transesophageal echocardiographic and computed tomographic imaging in a patient with lipomatous hypertrophy of the interatrial septum and advanced left bundle branch block are presented. Transesophageal echocardiography demonstrated a thickening of the atrial septum sparing the fossa ovalis region. Computed tomographic scan at the level of the interatrial septum showed a mass of fat density, and the HIS bundle electrogram showed an advanced infra-his block after intravenous ajmaline. We stress the utility of transesophageal echocardiography in this disorder, and the possible relationship between lipomatous hypertrophy of the interatrial septum and conduction disturbances.

摘要

本文介绍了一名患有房间隔脂肪瘤样肥厚和晚期左束支传导阻滞患者的经食管超声心动图和计算机断层扫描成像结果。经食管超声心动图显示房间隔增厚,卵圆窝区域未受累。房间隔水平的计算机断层扫描显示脂肪密度肿块,希氏束电图显示静脉注射阿义马林后出现晚期希氏束下阻滞。我们强调经食管超声心动图在这种疾病中的作用,以及房间隔脂肪瘤样肥厚与传导障碍之间可能的关系。

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