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右心房三房心:孤立性右心房扩大的罕见原因。

Cor triatiratum dexter: a rare cause of isolated right atrial enlargement.

作者信息

Choudhary Dinesh, Sivasankaran S, Venkateshwaran S, Sasidharan Bijulal

机构信息

Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India.

出版信息

Pediatr Cardiol. 2013 Jan;34(1):198-9. doi: 10.1007/s00246-012-0443-0. Epub 2012 Aug 1.

Abstract

Cor triatriatum sinistrum (division of the left atrium) is a recognized clinical and surgical entity. Division of the right atrium, also known as cor triatriatum dexter, is an extremely rare congenital abnormality in which persistence of the right valve of the embryonic systemic sinus venosus divides the right atrium into two chambers. Typically, the right atrial partition is due to exaggerated fetal eustachian and thebesian valves, which together form an incomplete septum across the lower part of the atrium. This septum may range from a reticulum to a substantial sheet of tissue. Cor triatriatum dexter can be diagnosed at any age, especially if it is incidentally discovered. Usually, this anomaly is recorded at necropsy. This report describes the case of a divided right atrium evaluated for nonspecific symptoms and unexplained cardiomegaly with right atrial enlargement.

摘要

左心房三房心(左心房分隔)是一种已被认可的临床和外科疾病实体。右心房分隔,也称为右三房心,是一种极其罕见的先天性异常,其中胚胎期体静脉窦右瓣膜持续存在,将右心房分为两个腔室。通常,右心房分隔是由于胎儿期欧氏瓣和心最小静脉瓣过度发育,它们共同在心房下部形成一个不完全隔膜。这个隔膜的范围可以从网状结构到相当大的组织片。右三房心可在任何年龄被诊断出来,尤其是偶然发现时。通常,这种异常是在尸检时记录的。本报告描述了一例因非特异性症状和原因不明的心脏肿大伴右心房扩大而接受评估的右心房分隔病例。

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