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复发性漏斗胸患者中酷似Brugada样心电图的右心室受压情况

Right Ventricular Compression Mimicking Brugada-Like Electrocardiogram in a Patient with Recurrent Pectus Excavatum.

作者信息

Ahn Jinhee, Choi Jong-Il, Shim Jaemin, Lee Sung Ho, Kim Young-Hoon

机构信息

Division of Cardiology, Department of Internal Medicine, Korea University College of Medicine and Korea University Medical Center, Seoul, Republic of Korea; Division of Cardiology, Department of Internal Medicine, Pusan National University Hospital, Busan, Republic of Korea.

Division of Cardiology, Department of Internal Medicine, Korea University College of Medicine and Korea University Medical Center, Seoul, Republic of Korea.

出版信息

Case Rep Cardiol. 2017;2017:3047937. doi: 10.1155/2017/3047937. Epub 2017 Feb 20.

DOI:10.1155/2017/3047937
PMID:28321340
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5339422/
Abstract

Pectus excavatum (PE), the most common skeletal anomaly of chest wall, sometimes requires a surgical correction but recurrent PE is not uncommon. PE usually has a benign course; however, this chest deformity may be associated with symptomatic tachyarrhythmias due to mechanical compression. We report a case of a patient with recurrent PE after surgical correction presenting with palpitation and electrocardiogram (ECG) showing ST-segment elevation on the right precordial leads, which could be mistaken for a Brugada syndrome (BrS).

摘要

漏斗胸（PE）是胸壁最常见的骨骼异常，有时需要手术矫正，但复发性PE并不少见。PE通常病程良性；然而，这种胸部畸形可能因机械压迫而伴有有症状的快速性心律失常。我们报告一例患者，其在手术矫正后出现复发性PE，伴有心悸，心电图（ECG）显示右胸前导联ST段抬高，这可能被误诊为Brugada综合征（BrS）。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d26f/5339422/3f2ec7774460/CRIC2017-3047937.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d26f/5339422/f6ebd330172b/CRIC2017-3047937.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d26f/5339422/6a9d9b73cc11/CRIC2017-3047937.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d26f/5339422/3f2ec7774460/CRIC2017-3047937.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d26f/5339422/f6ebd330172b/CRIC2017-3047937.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d26f/5339422/6a9d9b73cc11/CRIC2017-3047937.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d26f/5339422/3f2ec7774460/CRIC2017-3047937.003.jpg

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本文引用的文献

1
Pectus excavatum: uncommon electrical abnormalities caused by extrinsic right ventricular compression.漏斗胸：由外在性右心室受压引起的罕见电异常。
J Cardiovasc Electrophysiol. 2014 Mar;25(3):324-7. doi: 10.1111/jce.12336. Epub 2014 Jan 6.
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Brugada phenocopy: new terminology and proposed classification.Brugada综合征拟表型：新术语及拟分类
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Preoperative assessment of chest wall deformities.胸壁畸形的术前评估。
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Chest wall constriction after too extensive and too early operations for pectus excavatum.漏斗胸手术范围过大且过早进行导致胸壁狭窄。
Ann Thorac Surg. 1996 Jun;61(6):1618-24; discussion 1625. doi: 10.1016/0003-4975(96)00179-8.
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Repair of pectus deformities with sternal support.采用胸骨支撑修复胸壁畸形。
J Thorac Cardiovasc Surg. 1994 Jan;107(1):37-42.