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[磁共振成像在肥厚型梗阻性心肌病间隔酒精消融监测中的应用潜力。病例报告]

[The potential of magnetic resonance imaging for the surveillance of septal alcohol ablation in hypertrophic obstructive cardiomyopathy. A case report].

作者信息

Chassaing S, Garrigoux P, Redheuil A, Blanchard D, Bar O, Maudière A, Mousseaux E

机构信息

Clinique Saint-Gatien, Tours.

出版信息

Arch Mal Coeur Vaiss. 2006 Sep;99(9):828-31.

Abstract

We describe here the MRI surveillance of septal alcohol ablation in a case of symptomatic obstructive cardiomyopathy. MRI examinations were performed before, 15 days and 2 months after alcohol ablation using an identical protocol to study the function, regional perfusion and the equilibrium perfusion in order to directly visualize the infarction. MRI seems to be an excellent investigation in the surveillance of such patients, allowing precise quantification of the infarcted zone. The various stages of cellular necrosis in the induced infarct were demonstrated, and the role of remodelling in increasing the functional area of the systolic ejection pathway.

摘要

我们在此描述了对一名有症状的梗阻性心肌病患者进行间隔酒精消融术的MRI监测情况。在酒精消融术前、术后15天和2个月,采用相同方案进行MRI检查,以研究心脏功能、局部灌注和平衡灌注,从而直接观察梗死情况。MRI似乎是监测此类患者的一项极佳检查手段,能够精确量化梗死区域。我们展示了诱导梗死中细胞坏死的各个阶段,以及重塑在增加收缩期射血途径功能区域方面的作用。

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