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植入式房间隔缺损封堵装置血栓形成还是超声心动图波束宽度伪影?一个诊断之谜!

Thrombosis on implanted device for atrial septal defect closure or echocardiographic beam width artifact? A diagnostic enigma!

出版信息

Int J Cardiovasc Imaging. 2012 Dec;28(8):1851-2. doi: 10.1007/s10554-012-0033-5. Epub 2012 Feb 28.

Abstract

A 29 year old woman with NYHA functional class II and large secundum type atrial septal defect (ASD) underwent successfully percutaneous ASD closure with Figula ASD occluder (no. 30) without any peri-procedural complication. After 2 days she underwent transthoracic echocardiography and a large hypo-echoic mass was seen on left atrial side of implanted device in multiple views, suggestive of thrombosis or echocardiographic beam width artifact? A diagnostic enigma!

摘要

一位 29 岁女性,纽约心脏协会心功能分级 II 级,房间隔缺损(ASD)较大,为继发孔型。使用 Figula ASD 封堵器(30 号)成功行经皮 ASD 封堵,无围术期并发症。术后 2 天行经胸超声心动图检查,在多个切面于植入装置的左心房侧可见一较大低回声肿块,提示血栓或超声束宽度伪影?诊断谜团!

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