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Hippokratia. 2016 Jul-Sep;20(3):235-237.
2
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本文引用的文献

1
Left Atrial Appendage: Physiology, Pathology, and Role as a Therapeutic Target.左心耳：生理学、病理学及其作为治疗靶点的作用
Biomed Res Int. 2015;2015:205013. doi: 10.1155/2015/205013. Epub 2015 Jul 7.
2
The left atrial appendage: anatomy, function, and noninvasive evaluation.左心耳：解剖、功能和无创评估。
JACC Cardiovasc Imaging. 2014 Dec;7(12):1251-65. doi: 10.1016/j.jcmg.2014.08.009.
3
Guidelines for the cardiac sonographer in the performance of contrast echocardiography: a focused update from the American Society of Echocardiography.心脏超声检查技师进行超声心动造影检查的指南：美国超声心动图学会的重点更新
J Am Soc Echocardiogr. 2014 Aug;27(8):797-810. doi: 10.1016/j.echo.2014.05.011.
4
Thromboembolism Prevention via Transcatheter Left Atrial Appendage Closure with Transeosophageal Echocardiography Guidance.经食管超声心动图引导下经导管左心耳封堵预防血栓栓塞
Thrombosis. 2014;2014:832752. doi: 10.1155/2014/832752. Epub 2014 Feb 11.
5
CUTE-CV: a prospective study of enhanced left atrial appendage visualization with microbubble contrast agent use during transesophageal echocardiography guided cardioversion.CUTE-CV：一项关于在经食管超声心动图引导的心脏复律过程中使用微泡造影剂增强左心耳可视化的前瞻性研究。
Echocardiography. 2013 Oct;30(9):1091-7. doi: 10.1111/echo.12240. Epub 2013 May 11.
6
Contrast-enhanced CMR is equally effective as TEE in the evaluation of left atrial appendage thrombus in patients with atrial fibrillation undergoing pulmonary vein isolation procedure.对比增强磁共振成像在评估接受肺静脉隔离术的房颤患者左心耳血栓方面与经胸超声心动图同样有效。
Heart Rhythm. 2013 Jul;10(7):1021-7. doi: 10.1016/j.hrthm.2013.02.029. Epub 2013 Feb 27.
7
Contrast enhanced transesophageal echocardiography in patients with atrial fibrillation referred to electrical cardioversion improves atrial thrombus detection and may reduce associated thromboembolic events.对比增强经食管超声心动图用于房颤患者电复律可提高心房血栓检出率，并可能减少相关血栓栓塞事件。
Cardiovasc Ultrasound. 2013 Jan 7;11(1):1. doi: 10.1186/1476-7120-11-1.
8
Indications for TEE before cardioversion for atrial fibrillation: implications for appropriateness criteria.TEE 在心房颤动转复前的适应证：对适宜性标准的影响。
JACC Cardiovasc Imaging. 2012 Jun;5(6):641-8. doi: 10.1016/j.jcmg.2011.12.020.
9
Contrast echocardiography: evidence-based recommendations by European Association of Echocardiography.对比增强超声心动图：欧洲超声心动图协会基于证据的推荐意见
Eur J Echocardiogr. 2009 Mar;10(2):194-212. doi: 10.1093/ejechocard/jep005.
10
Pericardial effusion causing echocardiographic mimicking of left intra-atrial thrombus.
Eur J Echocardiogr. 2009 Mar;10(2):353-5. doi: 10.1093/ejechocard/jen232. Epub 2008 Sep 16.

左心耳心包积液：对比增强经食管超声心动图使其可见。

Left atrial appendage pericardial fluid: contrast-enhanced transesophageal echocardiography makes it visible.

作者信息

Kamperidis V, Michou E, Kouskouras K, Nikolaidou O, Karvounis H

机构信息

1 Cardiology Department, AHEPA Hospital, Medical Faculty, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Radiology Department, AHEPA Hospital, Medical Faculty, Aristotle University of Thessaloniki, Thessaloniki, Greece.

出版信息

Hippokratia. 2016 Jul-Sep;20(3):235-237.

PMID:29097892
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5654443/
Abstract

BACKGROUND

Contrast-enhanced transesophageal echocardiography (TEE) for the opacification of left atrial appendage (LAA) is not clearly suggested by the current guidelines and only scarce data are available.

CASE PRESENTATION

A patient with a membrane-like structure in the LAA cavity is presented. Contrast-enhanced TEE revealed LAA pericardial effusion and this diagnosis was confirmed by cardiac magnetic resonance that offered comparable images and tissue characterization.

CONCLUSION

Contrast-enhanced TEE has been demonstrated to safely and accurately enlighten LAA anatomy. Hippokratia 2016, 20(3): 235-237.

摘要

背景

目前的指南并未明确建议使用对比增强经食管超声心动图（TEE）使左心耳（LAA）显影，仅有少量相关数据。

病例报告

本文报告了一名左心耳腔内存在膜状结构的患者。对比增强TEE显示左心耳心包积液，心脏磁共振成像证实了这一诊断，其提供了类似的图像及组织特征。

结论

对比增强TEE已被证明能安全、准确地显示左心耳的解剖结构。《希波克拉底》2016年，20(3): 235 - 237。