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先天性心包部分缺如并伴有罕见的血管环并发异常,经心脏磁共振成像诊断。

Congenital partial absence of the pericardium presenting with a rare concurrent abnormality of vascular ring diagnosed by cardiac magnetic resonance imaging.

作者信息

Sani Zahra Alizadeh, Savand-Roomi Zahra, Vojdanparast Mohammad, Sarafan Shadi, Seifi Azin, Nezafati Pouya

机构信息

Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.

Department of Echocardiography, Kowsar Hospital, Shiraz, Iran.

出版信息

Adv Biomed Res. 2016 Dec 27;5:203. doi: 10.4103/2277-9175.192630. eCollection 2016.

Abstract

Congenital absence of the pericardium is a rare abnormality that can be diagnosed by cardiac imaging procedures. A 49-year-old male needed medical attention due to the appearance of palpitation with a systolic murmur, and a notable aortic arch deviation was seen in the chest X-ray. In the echocardiogram, a poor echo window was detected. A cardiac magnetic resonance imaging (MRI) showed a rare concomitant anomaly of partial absence of the pericardium including a rare defect of the right-sided aortic arch. Using cardiac MRI, the pericardium can be easily visualized, and thus, its absence more easily detected, aiding appropriate clinical decision-making.

摘要

先天性心包缺如是一种罕见的异常情况,可通过心脏成像检查来诊断。一名49岁男性因出现心悸伴收缩期杂音而需要就医,胸部X线检查发现主动脉弓有明显偏移。在超声心动图检查中,发现回声窗不佳。心脏磁共振成像(MRI)显示了一种罕见的合并异常,即部分心包缺如,包括罕见的右侧主动脉弓缺损。使用心脏MRI可以很容易地观察到心包,因此更容易检测到心包缺如,有助于做出恰当的临床决策。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2110/5220681/6fda3d0fb7f9/ABR-5-203-g001.jpg

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