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经食管超声心动图的作用:一例罕见的急性左心房游离壁夹层病例

Role of transesophageal echocardiography: a rare case of acute left atrial free wall dissection.

作者信息

Kumar G Anil, Nandakumar N M, Sudhir B V, Pasarad Ashwini Kumar

机构信息

Department of Cardiac Anaesthesiology, Sagar Hospital, Bengaluru, Karnataka, India.

出版信息

Ann Card Anaesth. 2015 Oct-Dec;18(4):593-5. doi: 10.4103/0971-9784.166482.

DOI:10.4103/0971-9784.166482
PMID:26440252
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4881675/
Abstract

Transesophageal echocardiography (TEE) has been used routinely in the diagnosis and follow-up of cardiac cases. Left atrial dissection (LAd), an exceedingly rare complication of cardiac surgery, is most commonly associated with mitral valve surgery. A case of LAd is presented, and the pathology was accurately defined and immediately diagnosed using intraoperative TEE. This case highlights the importance of prompt diagnosis of LAd using intraoperative TEE, and a second cardiac surgery was avoided.

摘要

经食管超声心动图(TEE)已常规用于心脏病例的诊断和随访。左心房夹层(LAd)是心脏手术极为罕见的并发症,最常与二尖瓣手术相关。本文报告一例LAd病例,术中使用TEE准确界定并立即诊断出其病理情况。该病例凸显了术中使用TEE对LAd进行快速诊断的重要性,避免了二次心脏手术。

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本文引用的文献

1
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Ann Thorac Surg. 2013 May;95(5):1557-62. doi: 10.1016/j.athoracsur.2012.12.041. Epub 2013 Feb 28.
2
Left atrial dissection after left ventricular aneurysm repair.左心室动脉瘤修复术后左心房夹层形成。
Echocardiography. 2012 Aug;29(7):E163-5. doi: 10.1111/j.1540-8175.2012.01684.x. Epub 2012 Apr 11.
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Left atrial wall hematoma as a consequence of percutaneous coronary angioplasty.左心房壁血肿是经皮冠状动脉介入治疗的后果。
CASE (Phila). 2017 Nov 15;2(1):16-19. doi: 10.1016/j.case.2017.08.004. eCollection 2018 Feb.
4
A case of left atrial dissection after mitral valve replacement.二尖瓣置换术后左心房夹层一例。
Ann Card Anaesth. 2018 Jul-Sep;21(3):297-299. doi: 10.4103/aca.ACA_118_17.
Ann Thorac Surg. 2012 Mar;93(3):e57-9. doi: 10.1016/j.athoracsur.2011.09.051.
4
Left atrial intramural hematoma after resection of myxoma: report of a case.黏液瘤切除术后左心房壁内血肿:一例报告
Ann Thorac Cardiovasc Surg. 2011;17(4):411-4. doi: 10.5761/atcs.cr.10.01582.
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Left atrial dissection and intramural hematoma after aortic valve replacement.主动脉瓣置换术后左心房夹层和壁内血肿
J Cardiothorac Vasc Anesth. 2011 Apr;25(2):309-10. doi: 10.1053/j.jvca.2010.03.011. Epub 2010 Jun 26.
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Circulation. 2010 Feb 2;121(4):584-5. doi: 10.1161/CIR.0b013e3181cf3117.
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Left atrial intramural haematoma associated with mitral annular calcification.左心房壁内血肿伴二尖瓣环钙化
Eur J Echocardiogr. 2010 Jun;11(5):E18. doi: 10.1093/ejechocard/jep210. Epub 2009 Dec 11.
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Left atrial dissection associated with pulmonary vein cannulation.与肺静脉插管相关的左心房夹层。
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Pacing Clin Electrophysiol. 2003 Aug;26(8):1771-3. doi: 10.1046/j.1460-9592.2003.t01-1-00267.x.
10
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Eur J Echocardiogr. 2000 Jun;1(2):147-50. doi: 10.1053/euje.2000.0020.