Leeson Paul, Dass Sairia, Mitchell Andrew R, Ryding Alisdair, Becher Harald
Department of Cardiology, John Radcliffe Hospital, Oxford, United Kingdom.
J Am Soc Echocardiogr. 2007 May;20(5):537.e3-5. doi: 10.1016/j.echo.2006.10.019.
Transesophageal echocardiography was requested for a 20-year-old woman admitted to the intensive care department after being involved, as a restrained driver, in a road traffic accident. During the study a striking abnormality was noted around the left atrial appendage and left upper pulmonary vein. The clinical history of blunt chest trauma, and echocardiographic appearances suggestive of a flap, indicated the diagnosis was left atrial appendage and left upper pulmonary vein dissection. The report summarizes the literature on traumatic injury to the left upper pulmonary vein and left atrial appendage and demonstrates the importance of comprehensive echocardiographic studies to identify unexpected pathology.
一名20岁女性作为受约束的驾驶员卷入道路交通事故后被收入重症监护病房，遂进行经食管超声心动图检查。在检查过程中，发现左心耳和左上肺静脉周围有明显异常。钝性胸部创伤的临床病史以及提示有瓣片的超声心动图表现表明，诊断为左心耳和左上肺静脉夹层。本报告总结了关于左上肺静脉和左心耳创伤性损伤的文献，并证明了全面的超声心动图检查对于识别意外病变的重要性。
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