Powell Adam W, Hanke Samuel, Tweddell James S, Madsen Nicolas
Division of Pediatric Cardiology, Cincinnati Children's Hospital, Cincinnati, OH, USA.
Division of Pediatric Cardiovascular Surgery, Cincinnati Children's Hospital, Cincinnati, OH, USA.
Case Rep Pediatr. 2016;2016:7313942. doi: 10.1155/2016/7313942. Epub 2016 Dec 1.
There are multiple cardiac etiologies for wheezing and respiratory distress which require a high degree of suspicion for the pediatrician to diagnose. We present a case of a patient with a history of long-standing mild persistent asthma with minimal improvement on controller and bronchodilator therapies who presented to the emergency room with acute respiratory distress. When he demonstrated a lack of improvement with traditional respiratory therapies, additional etiologies of respiratory distress were considered. Ultimately an echocardiogram was performed, which revealed the diagnosis of cor triatriatum. He underwent surgical resection of his accessory membrane and has had no additional symptoms of asthma since repair.
喘息和呼吸窘迫有多种心脏病因，这需要儿科医生高度怀疑才能做出诊断。我们报告一例患者，有长期轻度持续性哮喘病史，使用控制药物和支气管扩张剂治疗效果甚微，因急性呼吸窘迫就诊于急诊室。当他对传统呼吸治疗无改善时，便考虑了呼吸窘迫的其他病因。最终进行了超声心动图检查，结果显示诊断为三房心。他接受了副膜切除术，自修复后未再出现哮喘的其他症状。
