实时三维经食管超声心动图在评估Libman-Sacks心内膜炎中的作用。
The role of real time three-dimensional transesophageal echocardiography in assessing Libman-Sacks endocarditis.
作者信息
Vatankulu Mehmet Akif, Erdogan Ercan, Tasal Abdurrahman, Sonmez Osman, Cinar Ahmet, Aydin Cemalettin, Goktekin Omer
机构信息
Department of Cardiology, Faculty of Medicine, Bezmialem Vakıf University, Istanbul, Turkey.
出版信息
Echocardiography. 2012 Sep;29(8):E216-7. doi: 10.1111/j.1540-8175.2012.01761.x. Epub 2012 Jun 5.
A 33-year-old woman was referred to our echocardiography laboratory because of loud murmur at the apex. Transthoracic and transesophageal echocardiography (TTE and TEE) showed a mass involving the anterior leaflet of the mitral valve. Real time three-dimensional TEE (RT3D TEE) images clearly showed the nodular, irregular and large size of the mass. Based on her laboratory findings and the echocardiographic appearance of the mass, Libman-Sacks endocarditis was prediagnosed. In intraoperative inspection, a large nodular tumor was shown on the atrial side of the anterior mitral valve leaflet. In this case, RT3D TEE is better than all echocardiographic imaging modalities in evaulating vegetation of Libman-Sacks endocarditis.
一名33岁女性因心尖部出现响亮杂音而被转诊至我们的超声心动图实验室。经胸和经食管超声心动图（TTE和TEE）显示二尖瓣前叶有一个肿物。实时三维TEE（RT3D TEE）图像清晰显示该肿物呈结节状、不规则且体积较大。根据她的实验室检查结果及肿物的超声心动图表现，初步诊断为Libman-Sacks心内膜炎。术中检查发现二尖瓣前叶心房侧有一个大的结节状肿瘤。在这种情况下，RT3D TEE在评估Libman-Sacks心内膜炎的赘生物方面优于所有超声心动图成像方式。
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