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婴儿巨大右心房动脉瘤。

Giant Right Atrial Aneurysm in an Infant.

机构信息

Department of Pediatric Cardiology, 425959Fortis Pediatric and Congenital Heart Centre, Mulund, Mumbai, MH, India.

Thane Ultrasound Centre, Thane, MH, India.

出版信息

World J Pediatr Congenit Heart Surg. 2022 Nov;13(6):788-790. doi: 10.1177/21501351221085529. Epub 2022 Mar 15.

Abstract

Right atrial aneurysm (RAA) is a rare congenital anomaly with a diverse clinical spectrum. We present a case of antenatal detection of a giant RAA. The infant had 3 episodes of staring spells presumed to be thrombo-embolic phenomena originating from the RAA. The infant underwent successful RAA resection with preservation of the right coronary artery that was displaced from its usual position due to invagination of the RAA in the subepicardial space of the right atrio-ventricular groove.

摘要

右心房动脉瘤(RAA)是一种罕见的先天性异常,具有多样化的临床表现。我们报告了一例产前发现的巨大 RAA 病例。该婴儿有 3 次凝视发作,推测为起源于 RAA 的血栓栓塞现象。由于 RAA 嵌入右房-室沟的心外膜下空间,导致右冠状动脉从其正常位置移位,该婴儿成功地进行了 RAA 切除,保留了右冠状动脉。

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