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室间隔血肿的演变:超声心动图诊断

Evolution of Interventricular Septal Hematoma: Echocardiographic Diagnosis.

作者信息

Akam-Venkata Jyothsna, Lemler Matthew, Pirolli Timothy, Thankavel Poonam, Ikemba Catherine

机构信息

Division of Pediatric Cardiology, Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, Texas.

Department of Pediatric Cardiothoracic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas.

出版信息

CASE (Phila). 2020 Nov 10;5(1):39-42. doi: 10.1016/j.case.2020.10.003. eCollection 2021 Feb.

DOI:10.1016/j.case.2020.10.003
PMID:33644512
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7887523/
Abstract

• IVSH is a rare complication after cardiac procedures. • It results from myocardial infarction, coronary intervention, and/or direct trauma. • It is associated with morbidity, mortality, and extracorporeal membrane oxygenation support. • Echocardiography aids in diagnosis and follow-up of IVSH. • Spontaneous fistula between the septal hematoma and RV led to decompression and recovery.

摘要

• 室间隔血肿是心脏手术后一种罕见的并发症。

• 它由心肌梗死、冠状动脉介入治疗和/或直接创伤引起。

• 它与发病率、死亡率及体外膜肺氧合支持有关。

• 超声心动图有助于室间隔血肿的诊断及随访。

• 间隔血肿与右心室之间的自发性瘘导致减压及恢复。

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本文引用的文献

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Spontaneous interventricular septum dissecting hematoma with endocardial fibroelastosis: imaging, diagnosis, surgical therapy and 6-year follow-up outcomes.自发性室间隔夹层血肿合并心内膜弹力纤维增生症:影像学、诊断、外科治疗及6年随访结果
Quant Imaging Med Surg. 2020 Apr;10(4):878-882. doi: 10.21037/qims.2020.03.03.
2
Extracorporeal membrane oxygenation as a novel management strategy for interventricular septal hematoma following ventricular septal defect repair.体外膜肺氧合作为室间隔缺损修补术后室间隔血肿的一种新的治疗策略。
J Thorac Cardiovasc Surg. 2020 May;159(5):1936-1940. doi: 10.1016/j.jtcvs.2019.09.150. Epub 2019 Oct 16.
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右冠状动脉慢性完全闭塞逆行介入术后室间隔血肿的心肌对比超声心动图诊断及随访:病例报告
Cardiovasc Diagn Ther. 2022 Apr;12(2):253-261. doi: 10.21037/cdt-21-707.
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Interventricular septal hematoma detected by transesophageal echocardiography after congenital heart surgery in an infant: a case report.经胸超声心动图在婴儿先天性心脏病手术后发现室间隔血肿:一例报告。
Eur J Med Res. 2021 Aug 25;26(1):97. doi: 10.1186/s40001-021-00552-4.
Interventricular septal hematoma following repair of a ventricular septal defect.
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