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反复胸闷——一例成人左心室双腔室。

Repeated chest tightness-A case of double-chambered left ventricle in an adult.

机构信息

Department of Ultrasound, Hunan Provincial People's Hospital/The First Affiliated Hospital of Hunan Normal University, Changsha, Hunan, China.

Department of Geriatrics, Hunan Provincial People's Hospital/The First Affiliated Hospital of Hunan Normal University, Changsha, Hunan, China.

出版信息

J Clin Ultrasound. 2021 Oct;49(8):808-812. doi: 10.1002/jcu.23046. Epub 2021 Jul 26.

Abstract

Double-chambered left ventricle (DCLV) is a rare congenital heart disease. A hypertrophic muscle bundle in the left ventricle may cause varying degrees of obstruction in the middle of the left ventricle, resulting in different clinical symptoms. Here, we report a patient with a history of repeated chest tightness who was misdiagnosed with coronary heart disease and ventricular aneurysm. After repeated ultrasound examinations, the patient was eventually diagnosed with DCLV, which was confirmed by magnetic resonance imaging and coronary angiography. This case highlights the necessity to improve the accuracy of DCLV diagnosis via echocardiogram.

摘要

双腔左心室(DCLV)是一种罕见的先天性心脏病。左心室中的肥厚肌束可能会导致左心室中部出现不同程度的阻塞,从而引起不同的临床症状。在这里,我们报告了一例有反复胸闷病史的患者,该患者曾被误诊为冠心病和室壁瘤。经过多次超声检查,患者最终被诊断为 DCLV,这一诊断通过磁共振成像和冠状动脉造影得到了证实。该病例强调了通过超声心动图提高 DCLV 诊断准确性的必要性。

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引用本文的文献

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