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三尖瓣前叶移位:埃布斯坦畸形的罕见变异型。

Displacement of the anterior leaflet of the tricuspid valve: Rare variant of Ebstein's anomaly.

作者信息

Tsujii Nobuyuki, Kurosaki Kenichi, Yasuda Kenji, Mizuno Masanori, Sakaguchi Heima, Hoashi Takaya, Ichikawa Hajime, Shiraishi Isao

机构信息

Department of Pediatric Cardiology, National Cerebral and Cardiovascular Center, Osaka, Japan.

Department of Pediatrics, Nara Medical University, Nara, Japan.

出版信息

Pediatr Int. 2016 Aug;58(8):775-7. doi: 10.1111/ped.12962. Epub 2016 Jun 21.

Abstract

In Ebstein's anomaly, the points of attachment, or hinges, of the septal and mural leaflets in the right ventricle are displaced away from the atrioventricular junction. In contrast, the junctional hinge of the anterior leaflet usually retains a normal position. Here, we report a case of giant right atrial aneurysm due to isolated displacement of the anterior leaflet of the tricuspid valve in an infant, a rare variant of Ebstein's anomaly. Enlargement of the right atrium, which was initially diagnosed during the fetal period, progressively and markedly dilated after birth and was successfully treated with surgical resection. Isolated displacement of the anterior leaflet should be recognized as a variant of Ebstein's anomaly.

摘要

在埃布斯坦畸形中,右心室间隔叶和壁叶的附着点或铰链点远离房室交界处。相比之下,前叶的交界铰链通常保持正常位置。在此,我们报告一例婴儿因三尖瓣前叶孤立性移位导致巨大右心房瘤的病例,这是埃布斯坦畸形的一种罕见变体。右心房扩大最初在胎儿期被诊断出来,出生后逐渐且显著扩张,并通过手术切除成功治疗。前叶的孤立性移位应被视为埃布斯坦畸形的一种变体。

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