丹佛分流术导致右心房异常肿块：通过彩色编码多普勒分流造影术无创测定分流通畅情况。

Denver shunt causing abnormal right atrial mass: noninvasive determination of shunt patency by color-coded Doppler shuntography.

作者信息

Hust M H, Grathwohl I, Fritz S, Metzler B, Felton C, Braun B B

机构信息

Medizinische Klinik, KKH Reutlingen, Akademisches Lehrkrankenhaus, Universitaet Tuebingen, West-Germany.

出版信息

J Am Soc Echocardiogr. 1992 Jan-Feb;5(1):73-6. doi: 10.1016/s0894-7317(14)80106-5.

DOI:10.1016/s0894-7317(14)80106-5

PMID:1739474

Abstract

An unusual floating mass was detected in the right atrium of a 71-year-old man with liver cirrhosis and intractable ascites using two-dimensional echocardiography. The mass was caused by the venous tip of a Denver peritoneovenous shunt. Shunt patency could be assessed easily by compression of the pump body; this maneuver resulted in a laminar or turbulent flow that was recorded at the tip of the shunt in the right atrium by color-coded Doppler echocardiography. We are reporting the first case demonstrating the value of echocardiography in diagnosing a Denver shunt in the heart and shunt patency by color-coded Doppler shuntography.

摘要

一名71岁患肝硬化和顽固性腹水的男性患者，通过二维超声心动图在其右心房检测到一个异常的漂浮物。该漂浮物是由丹佛腹腔静脉分流术的静脉端所致。通过按压泵体可轻松评估分流的通畅情况；此操作会产生层流或湍流，通过彩色编码多普勒超声心动图可在右心房分流端记录到这种血流情况。我们报告首例通过彩色编码多普勒分流造影术展示超声心动图在诊断心脏丹佛分流及分流通畅情况方面价值的病例。