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一名患有两腔心和完全性内脏反位的女性患者反复流产：病例报告。

Multiple miscarriages in a female patient with two-chambered heart and situs inversus totalis: A case report.

作者信息

Duan Hai-Zhen, Liu Jia-Ji, Zhang Xiao-Jun, Zhang Ji, Yu An-Yong

机构信息

Department of Emergency Medicine, Affiliated Hospital of Zunyi Medical University, Zunyi 563000, Guizhou Province, China.

Department of Radiology, the First People's Hospital of Zunyi, Zunyi 563000, Guizhou Province, China.

出版信息

World J Clin Cases. 2022 Feb 6;10(4):1333-1340. doi: 10.12998/wjcc.v10.i4.1333.

DOI:10.12998/wjcc.v10.i4.1333
PMID:35211567
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8855183/
Abstract

BACKGROUND

Single atrium with single ventricle, or a two-chambered heart, is an extremely rare congenital malformation. Few cases with two-chambered heart surviving to adulthood have been reported.

CASE SUMMARY

We reported an adult female patient with a two-chambered heart and situs inversus totalis accompanied by multiple pregnancies and abortions. Magnetic resonance imaging detected a two-chambered heart. B-ultrasound-guided uterine aspiration was performed to absorb 8 g and 10 g of organized villus and decidual tissues, respectively, with a small amount of bleeding. Postoperatively, cyanosis and fatigue-induced shortness of breath were gradually relieved. The patient has currently outlived all similar cases reported so far.

CONCLUSION

Hemodynamic changes in pregnant women with two-chambered heart impaired cardiac function, responsible for hypoperfusion and miscarriage.

摘要

背景

单心房单心室，即两腔心，是一种极其罕见的先天性畸形。很少有两腔心患者存活至成年的病例报道。

病例摘要

我们报告了一名成年女性患者，患有两腔心及完全性内脏反位，伴有多次妊娠和流产。磁共振成像检测到两腔心。在超声引导下行清宫术，分别吸出8克和10克机化绒毛及蜕膜组织，有少量出血。术后，发绀和因疲劳引起的呼吸急促逐渐缓解。该患者目前已超过迄今报道的所有类似病例的存活时间。

结论

两腔心孕妇的血流动力学变化损害心脏功能，导致灌注不足和流产。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c38/8855183/8a5dbceaaeb6/WJCC-10-1333-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c38/8855183/20e607228a42/WJCC-10-1333-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c38/8855183/bbee2e029552/WJCC-10-1333-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c38/8855183/feaf967e4fe3/WJCC-10-1333-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c38/8855183/906bdbdff758/WJCC-10-1333-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c38/8855183/d4e51fdd16a5/WJCC-10-1333-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c38/8855183/bd5d110ff741/WJCC-10-1333-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c38/8855183/8a5dbceaaeb6/WJCC-10-1333-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c38/8855183/20e607228a42/WJCC-10-1333-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c38/8855183/bbee2e029552/WJCC-10-1333-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c38/8855183/feaf967e4fe3/WJCC-10-1333-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c38/8855183/906bdbdff758/WJCC-10-1333-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c38/8855183/d4e51fdd16a5/WJCC-10-1333-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c38/8855183/bd5d110ff741/WJCC-10-1333-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c38/8855183/8a5dbceaaeb6/WJCC-10-1333-g007.jpg

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