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左心房亚急性夹层一例罕见病例：多模态成像方法

A Rare Case of Left Subacute Atrial Dissection: Multimodality Imaging Approach.

作者信息

Lavorgna Alberto, Villani Carmine, Fabiani Donatello, Napoletano Cosimo

机构信息

Department of Cardiovascular Diseases, Cardiology Unit, Giuseppe Mazzini Hospital, Teramo, Italy.

Department of Cardiac Surgery Unit, Giuseppe Mazzini Hospital, Teramo, Italy.

出版信息

J Cardiovasc Echogr. 2019 Jan-Mar;29(1):26-28. doi: 10.4103/jcecho.jcecho_52_18.

DOI:10.4103/jcecho.jcecho_52_18
PMID:31008036
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6450235/
Abstract

Today, left atrial dissection is described as a rare complication of cardiac surgery, particularly after a mitral valve replacement. We report a rare case of left subacute atrial dissection occurred as a result of a domestic accidental fall. Transesophageal echocardiogram, angio-computed tomography, and magnetic resonance imaging showed an intramural formation with clear margins and a seamless cleavage with the posterolateral wall of the left atrium, which determined an obstacle to the ventricular filling. The patient was then operated in order to empty the hematoma and reattach the atrial wall.

摘要

如今，左心房夹层被描述为心脏手术的一种罕见并发症，尤其是在二尖瓣置换术后。我们报告一例因家庭意外跌倒导致的罕见左心房亚急性夹层病例。经食管超声心动图、血管计算机断层扫描和磁共振成像显示，在左心房壁内形成了一个边界清晰的结构，与左心房后壁呈无缝分离，这对心室充盈造成了阻碍。随后对该患者进行了手术，以清除血肿并重新附着心房壁。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6dd/6450235/0b01fa50b4c8/JCE-29-26-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6dd/6450235/0efc2ce19734/JCE-29-26-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6dd/6450235/3f162cc0c765/JCE-29-26-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6dd/6450235/30d6f50167d5/JCE-29-26-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6dd/6450235/0b01fa50b4c8/JCE-29-26-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6dd/6450235/0efc2ce19734/JCE-29-26-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6dd/6450235/3f162cc0c765/JCE-29-26-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6dd/6450235/30d6f50167d5/JCE-29-26-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6dd/6450235/0b01fa50b4c8/JCE-29-26-g004.jpg

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本文引用的文献

1
Role of transesophageal echocardiography: a rare case of acute left atrial free wall dissection.经食管超声心动图的作用：一例罕见的急性左心房游离壁夹层病例
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Left atrial dissection.左心房夹层
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