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[右心室流出道创伤后动脉瘤伴三尖瓣关闭不全]

[Post-traumatic aneurysm of the right ventricular outflow tract with concomitant tricuspid valve insufficiency].

作者信息

Jacksch R, Voelker W, Unterberg R, Karsch K R

机构信息

Abteilung Innere Medizin III der Eberhard-Karls-Universität Tübingen.

出版信息

Z Kardiol. 1988 Dec;77(12):814-8.

PMID:3250143
Abstract

Right ventricular aneurysms of different etiology are rare findings. Aneurysms of traumatic origin after penetrating accidents are reported. After nonpenetrating traumas formation of a right ventricular aneurysm, however, has not yet been reported. This case report deals with a 25-year-old patient who developed an aneurysm of the right ventricular outflow tract and tricuspid regurgitation after a nonpenetrating chest trauma. Clinical, hemodynamic, and echocardiographic findings with a follow up for 18 months demonstrate excellent adaptation to the traumatic changes. Therapeutic consequences are discussed with respect to the literature and prognosis.

摘要

不同病因的右心室动脉瘤是罕见的发现。有关于穿透性事故后创伤性起源动脉瘤的报道。然而,非穿透性创伤后右心室动脉瘤的形成尚未见报道。本病例报告涉及一名25岁患者,其在非穿透性胸部创伤后出现右心室流出道动脉瘤和三尖瓣反流。临床、血流动力学和超声心动图检查结果以及18个月的随访表明对创伤性改变有良好的适应性。结合文献讨论了治疗结果和预后。

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