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心内之心——一种导致栓塞性中风的罕见先天性病因。

A heart within the heart--a rare congenital cause of an embolic stroke.

作者信息

Khan Tina, El-Sharkawy Samy, Schafer Frank

机构信息

Cardiology Department, Harefield Hospital, London, UK.

出版信息

BMJ Case Rep. 2012 Jul 3;2012:bcr1020115027. doi: 10.1136/bcr.10.2011.5027.

Abstract

The authors report the case of an 87-year-old lady who presented with a right middle cerebral artery territory infarct in whom the authors diagnosed a probable ruptured blood cyst attached to her anterior mitral valve leaflet, with the use of trans-thoracic and trans-oesophageal echocardiography. Embolic strokes are recognised as a rare complication of intracardiac blood cysts, with very few cases previously reported. Echocardiography was first used to identify a blood cyst in 1983 and remains an excellent modality to diagnose this rare condition.

摘要

作者报告了一例87岁女性患者,该患者出现右大脑中动脉区域梗死,作者通过经胸和经食管超声心动图诊断其可能为附着于二尖瓣前叶的破裂血囊肿。栓塞性中风被认为是心内血囊肿的一种罕见并发症,此前报道的病例极少。超声心动图于1983年首次用于识别血囊肿,至今仍是诊断这种罕见病症的极佳方法。

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本文引用的文献

1
Blood cyst of the mitral valve: a rare cause of stroke.二尖瓣血囊肿:中风的罕见病因。
Echocardiography. 2009 Jul;26(6):736-8. doi: 10.1111/j.1540-8175.2008.00879.x.

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