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经食管超声心动图显示一名房间隔缺损合并二尖瓣脱垂患者存在漏诊的右心房瘤。

Transesophageal Echocardiography Reveals a Missed Right Atrial Aneurysm in a Patient with Atrial Septal Defect and Mitral Valve Prolapse.

作者信息

Chellappan Subramanian, Soman Krishnamanohar R, Sathe Yogesh, Kukshal Prachi, James Arya

机构信息

Department of Pediatric Cardiac Anaesthesia, Sri Sathya Sai Sanjeevani International Centre for Child Heart Care and Research, Palwal, Haryana, India.

Department of Pediatric Cardiac Surgery, Sri Sathya Sai Sanjeevani Research Foundation, Palwal, Haryana, India.

出版信息

J Cardiovasc Echogr. 2020 Jul-Sep;30(3):171-173. doi: 10.4103/jcecho.jcecho_20_20. Epub 2020 Nov 9.

DOI:10.4103/jcecho.jcecho_20_20
PMID:33447510
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7799074/
Abstract

Right atrial (RA) aneurysms are rare entities reported in the literature. Affected patients are usually asymptomatic, but sometimes, they tend to present with arrhythmias or even heart failure if big. They may form a nidus for thrombus formation and subsequent thromboembolic complications. We report a coincidental finding of a RA aneurysm in a 22-year-old female with the atrial septal defect and mitral valve prolapse, causing moderate mitral regurgitation. The aneurysm was detected incidentally on transesophageal echo after anesthetic induction for elective surgery of the primary pathology. The mitral valve was repaired, and the atrial septal defect was closed. The aneurysm was excised in toto and RA wall repaired.

摘要

右心房（RA）动脉瘤是文献中报道的罕见病症。受影响的患者通常无症状，但有时，如果动脉瘤较大，可能会出现心律失常甚至心力衰竭。它们可能形成血栓形成的病灶以及随后的血栓栓塞并发症。我们报告了一名22岁患有房间隔缺损和二尖瓣脱垂并导致中度二尖瓣反流的女性患者偶然发现右心房动脉瘤的病例。在对原发性病变进行择期手术的麻醉诱导后，经食管超声偶然发现了该动脉瘤。修复了二尖瓣，闭合了房间隔缺损。完整切除了动脉瘤并修复了右心房壁。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f90/7799074/8c9b525a5b1e/JCE-30-171-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f90/7799074/e3f12a20deb5/JCE-30-171-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f90/7799074/8293a6c26a35/JCE-30-171-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f90/7799074/2c910685b75a/JCE-30-171-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f90/7799074/8c9b525a5b1e/JCE-30-171-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f90/7799074/e3f12a20deb5/JCE-30-171-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f90/7799074/8293a6c26a35/JCE-30-171-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f90/7799074/2c910685b75a/JCE-30-171-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f90/7799074/8c9b525a5b1e/JCE-30-171-g004.jpg

相似文献

1
Transesophageal Echocardiography Reveals a Missed Right Atrial Aneurysm in a Patient with Atrial Septal Defect and Mitral Valve Prolapse.经食管超声心动图显示一名房间隔缺损合并二尖瓣脱垂患者存在漏诊的右心房瘤。
J Cardiovasc Echogr. 2020 Jul-Sep;30(3):171-173. doi: 10.4103/jcecho.jcecho_20_20. Epub 2020 Nov 9.
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Atrial septal aneurysm and patent foramen ovale as risk factors for cryptogenic stroke in patients less than 55 years of age. A study using transesophageal echocardiography.房间隔瘤和卵圆孔未闭作为55岁以下患者隐源性卒中的危险因素。一项经食管超声心动图研究。
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