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巨大左心房：综述

Giant left atrium: a review.

作者信息

El Maghraby Ahmed, Hajar Rachel

机构信息

Non-Invasive Cardiology, Department of Cardiology and Cardiothoracic Surgery, Heart Hospital, Hamad Medical Corporation, Doha, Qatar.

出版信息

Heart Views. 2012 Apr;13(2):46-52. doi: 10.4103/1995-705X.99227.

DOI:10.4103/1995-705X.99227
PMID:22919448
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3424779/
Abstract

Giant left atrium is a rare condition, with a reported incidence of 0.3%, and following mainly rheumatic mitral valve disease. Although rheumatic heart disease represents the main cause of giant left atrium, other etiologies have been reported. Giant left atrium has significant hemodynamic effects and requires specific management. In this review, we present two cases, discuss the different definitions, etiologies, clinical presentation and management modalities.

摘要

巨大左心房是一种罕见病症，报告发病率为0.3%，主要继发于风湿性二尖瓣疾病。虽然风湿性心脏病是巨大左心房的主要病因，但也有其他病因的报道。巨大左心房具有显著的血流动力学影响，需要特殊处理。在本综述中，我们展示了两例病例，讨论了不同的定义、病因、临床表现及处理方式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfea/3424779/c4bc0cac820c/HV-13-46-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfea/3424779/944ee77bd6a8/HV-13-46-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfea/3424779/e97a82b245d4/HV-13-46-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfea/3424779/2eba73b6df9c/HV-13-46-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfea/3424779/c4bc0cac820c/HV-13-46-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfea/3424779/944ee77bd6a8/HV-13-46-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfea/3424779/e97a82b245d4/HV-13-46-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfea/3424779/2eba73b6df9c/HV-13-46-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfea/3424779/c4bc0cac820c/HV-13-46-g006.jpg

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本文引用的文献

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Giant left atrium with calcified walls and thrombus in a patient with an old, normally functioning ball-in-cage mitral valve prosthesis.一名老年患者，其球笼型二尖瓣人工瓣膜功能正常，但存在巨大左心房，心房壁钙化并伴有血栓形成。
Circulation. 2010 Dec 14;122(24):e579-80. doi: 10.1161/CIRCULATIONAHA.110.984203.
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Giant left atrium in a patient with Starr-Edwards caged ball implanted three decades ago.一名三十年前植入斯塔尔-爱德华兹笼球瓣膜的患者出现巨大左心房。
Cardiovasc Revasc Med. 2011 Jul-Aug;12(4):266-7. doi: 10.1016/j.carrev.2010.09.004. Epub 2010 Dec 3.
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Cardiac amyloidosis with giant atria.
风湿性二尖瓣疾病在二尖瓣置换手术前通过机械循环支持成功治疗。
JTCVS Tech. 2024 Jun 18;26:35-39. doi: 10.1016/j.xjtc.2024.05.027. eCollection 2024 Aug.
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A Case of Progressive Giant Left Atrium and Spontaneous Echo Contrast.一例进行性巨大左心房并自发显影病例
CJC Open. 2024 Feb 6;6(6):846-848. doi: 10.1016/j.cjco.2024.01.011. eCollection 2024 Jun.
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Giant left atrium and management modalities (surgical vs. conservative): a case report from Mauritania.巨大左心房及其处理方式（手术治疗与保守治疗）：来自毛里塔尼亚的一例病例报告
Ann Med Surg (Lond). 2023 Aug 4;85(9):4624-4628. doi: 10.1097/MS9.0000000000001132. eCollection 2023 Sep.
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A new surgical technique for left atrial reduction in giant left atrium.一种用于巨大左心房左心房缩小的新手术技术。
JTCVS Tech. 2022 Nov 3;17:56-64. doi: 10.1016/j.xjtc.2022.10.013. eCollection 2023 Feb.
7
Silent giant left atrium: A case report.沉默型巨大左心房：一例报告
Clin Case Rep. 2022 Feb 1;10(2):e05363. doi: 10.1002/ccr3.5363. eCollection 2022 Feb.
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A case report: cardiac dysphagia-a ghost of the past?病例报告：心源性吞咽困难——往事如烟？
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伴有巨大心房的心脏淀粉样变性
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