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双腔右心室:一种罕见的先天性心脏病。病例报告及文献复习

Double-chambered right ventricle: an uncommon congenital heart disease. Case report and literature review.

作者信息

Animasahun B A, Ekure E N, Njokanma O F

机构信息

Department of Paediatrics and Child Health, Lagos State University College of Medicine, Ikeja, Lagos, Nigeria.

出版信息

Cardiovasc J Afr. 2011 Sep-Oct;22(5):274-7. doi: 10.5830/CVJA-2010-068.

Abstract

A double-chambered right ventricle (DCRV) is a rare congenital heart disease and an uncommon cause of congestive cardiac failure. An anomalous muscle band divides the right ventricle into two cavities, causing variable degrees of obstruction. Echocardiography is considered a useful method for the diagnosis of this pathology, especially in children. An eight-year-old patient with a small ventricular septal defect (VSD) and double-chambered right ventricle presented with a history of palpitations, easy fatigability and recurrent fever. On presentation, she had features of congestive cardiac failure. A complete diagnosis was initially missed with transthoracic two-dimensional (2-D) echocardiography but later obtained based on transthoracic 2-D echocardiography with Doppler facility. This was confirmed with cardiac catheterisation. The patient was referred for surgical correction, which was successful. Due to the rarity of this condition and the consequences of missing the diagnosis, we present this case in order to highlight the rarity of this congenital heart disease in childhood.

摘要

双腔右心室(DCRV)是一种罕见的先天性心脏病,也是充血性心力衰竭的不常见病因。一条异常肌束将右心室分为两个腔,导致不同程度的梗阻。超声心动图被认为是诊断这种病变的有用方法,尤其是在儿童中。一名患有小型室间隔缺损(VSD)和双腔右心室的8岁患者,有心悸、易疲劳和反复发热病史。就诊时,她有充血性心力衰竭的症状。经胸二维(2-D)超声心动图最初漏诊,但后来通过带有多普勒设备的经胸2-D超声心动图得以确诊。心脏导管检查证实了这一诊断。该患者被转诊进行手术矫正,手术成功。由于这种疾病的罕见性以及漏诊的后果,我们呈现此病例以突出这种先天性心脏病在儿童期的罕见性。

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