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直击心脏:一例罕见的心脏栓塞病例

A shot to the heart: a rare case of cardiac embolization.

作者信息

Elsisi Islam Fathi Hussein Ali, Kidambi Ananth

机构信息

Department of Cardiology, Leeds Teaching Hospitals, Leeds, UK.

Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK.

出版信息

Echo Res Pract. 2018 Mar;5(1):K19-K21. doi: 10.1530/ERP-17-0073. Epub 2018 Feb 12.

DOI:10.1530/ERP-17-0073
PMID:29440229
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5843821/
Abstract

UNLABELLED

SummaryThis is a case report of intracardiac foreign bodies that gained access to the heart by migration from a peripheral vein. The case report describes the diagnostic findings on cardiac imaging and summarizes different approaches to management.

LEARNING POINTS

Appearance of embolized cardiac missiles with reverberation and acoustic shadowing.Role of different imaging modalities in the diagnosis of intracardiac foreign bodies.Indications for surgical or transcatheter retrieval.

摘要

未标注

总结

这是一例关于心内异物的病例报告,该异物通过从外周静脉迁移进入心脏。该病例报告描述了心脏成像的诊断结果,并总结了不同的处理方法。

学习要点

带混响和声影的栓塞性心脏异物的表现。

不同成像方式在诊断心内异物中的作用。

手术或经导管取出的指征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72c/5843821/c0342405f3ed/erp-5-K19-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72c/5843821/7f3dd92413a7/erp-5-K19-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72c/5843821/a87372328939/erp-5-K19-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72c/5843821/c0342405f3ed/erp-5-K19-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72c/5843821/7f3dd92413a7/erp-5-K19-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72c/5843821/a87372328939/erp-5-K19-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72c/5843821/c0342405f3ed/erp-5-K19-g003.jpg

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本文引用的文献

1
Conservative management of retained cardiac missiles: case report and literature review.保留性心脏弹丸的保守治疗:病例报告及文献复习。
J Surg Educ. 2009 Jul-Aug;66(4):228-35. doi: 10.1016/j.jsurg.2009.04.002.
2
Posttraumatic and iatrogenic foreign bodies in the heart: report of fourteen cases and review of the literature.心脏创伤性和医源性异物:14例报告及文献复习
J Thorac Cardiovasc Surg. 2003 Aug;126(2):408-14. doi: 10.1016/s0022-5223(03)00399-4.
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Penetrating heart injury from second world war.第二次世界大战中的穿透性心脏损伤。
BMJ Case Rep. 2022 Mar 8;15(3):e247252. doi: 10.1136/bcr-2021-247252.
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Bullet embolization to the heart: A rare and confounding penetrating cardiac injury case report.子弹栓塞至心脏:一例罕见且复杂的穿透性心脏损伤病例报告。
Int J Surg Case Rep. 2020;73:35-38. doi: 10.1016/j.ijscr.2020.06.090. Epub 2020 Jun 25.
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Selective management of embolized intracardiac missiles.栓塞性心内异物的选择性处理
Ann Thorac Surg. 1996 Jul;62(1):290-2. doi: 10.1016/0003-4975(96)00097-5.
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Peripheral arterial missile embolization: a case report and 22-year literature review.外周动脉导弹栓塞术:一例病例报告及22年文献综述
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The importance of two-dimensional echocardiography in the location of a bullet embolus to the right ventricle.二维超声心动图在右心室子弹栓子定位中的重要性。
Ann Thorac Surg. 1988 Jul;46(1):102-3. doi: 10.1016/s0003-4975(10)65865-1.
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Bullet emboli to the systemic and venous circulation.进入体循环和静脉循环的子弹栓子。
Surgery. 1990 Mar;107(3):239-45.
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Cardiac missiles. A review of the literature and personal experience.心脏异物。文献综述及个人经验
Ann Surg. 1990 May;211(5):639-47; discussion 647-8.