Cao Long, Farooqui Mohammed Ataullah, Wood William, Cahill John, Movahed Assad
Long Cao, Mohammed Ataullah Farooqui, William Wood, John Cahill, Assad Movahed, Department of Cardiovascular Sciences, East Carolina University, Brody School of Medicine, East Carolina Heart Institute, Greenville, NC 27858, United States.
World J Clin Cases. 2013 Apr 16;1(1):28-30. doi: 10.12998/wjcc.v1.i1.28.
An unknown aberrant flow in the right atrium observed on doppler with transesophageal echocardiogram (TEE) in a patient with prior coronary bypass. TEE revealed normal size left ventricle with severely dilated left atrium. There was moderate aortic regurgitation and moderate aortic stenosis noted. Patient was incidentally found to have an abnormal vascular communication noted to the right atrium. To further evaluate this finding, the patient underwent cardiac magnetic resonance angiography which revealed that the tubular structure noted on TEE was actually a graft that was abutting onto the coronary sinus, and the flow anomaly was really the graft coming up and running adjacent to the coronary sinus.
在一名曾接受冠状动脉搭桥术的患者中，经食管超声心动图（TEE）的多普勒检查发现右心房存在不明异常血流。TEE显示左心室大小正常，但左心房严重扩张。存在中度主动脉瓣反流和中度主动脉瓣狭窄。患者偶然发现右心房存在异常血管交通。为进一步评估这一发现，患者接受了心脏磁共振血管造影，结果显示TEE上发现的管状结构实际上是一个与冠状窦相邻的移植物，血流异常实际上是移植物向上走行并与冠状窦相邻。
