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二尖瓣膜合并左心房附壁血栓:一种罕见的实体。

Supramitral membrane with left atrial appendage thrombus: A rare entity.

机构信息

Department of Cardiac Anaesthesia, Medanta-the Medicity, Sector-38, Gurugram, Haryana, India.

出版信息

Ann Card Anaesth. 2022 Jul-Sep;25(3):366-367. doi: 10.4103/aca.aca_32_22.

DOI:10.4103/aca.aca_32_22
PMID:35799571
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9387610/
Abstract

A 4-year-old child with supramitral membrane (SMM) causing severe mitral stenosis (MS) was taken for excision of the membrane. Intraoperative transesophageal echocardiography showed a large thrombus in the left atrial appendage (LAA) in addition to SMM. The case underscores the importance of this extremely rare association and prompt therapy to prevent catastrophic consequences.

摘要

一名 4 岁儿童因二尖瓣上膜(SMM)导致严重二尖瓣狭窄(MS)接受了膜切除术。术中经食管超声心动图显示除 SMM 外,左心耳(LAA)内还有一个大血栓。该病例强调了这种极其罕见的关联的重要性,以及及时治疗以预防灾难性后果的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba4d/9387610/bb22b20eafde/ACA-25-366-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba4d/9387610/bb22b20eafde/ACA-25-366-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba4d/9387610/bb22b20eafde/ACA-25-366-g001.jpg

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本文引用的文献

1
Cor triatriatum with supramitral ring: "cor tetratriatum", associated with Raghib syndrome with Eisenmenger syndrome: multimodality imaging approach in this exceedingly rare case report.合并二尖瓣上环形结构的三房心:“四房心”,合并拉吉布综合征及艾森曼格综合征:这一极其罕见病例报告的多模态成像方法
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2
Guidelines for the Use of Echocardiography in the Evaluation of a Cardiac Source of Embolism.超声心动图在评估心源性栓塞源中的应用指南。
J Am Soc Echocardiogr. 2016 Jan;29(1):1-42. doi: 10.1016/j.echo.2015.09.011.
3
An analysis of 24 autopsied cases with supramitral rings.
对24例二尖瓣上环形结构尸检病例的分析。
Cardiol Young. 2009 Feb;19(1):70-5. doi: 10.1017/S1047951108003399. Epub 2008 Dec 11.
4
Supramitral ring: good prognosis in a subset of patients with congenital mitral stenosis.二尖瓣上环形结构:先天性二尖瓣狭窄部分患者预后良好。
Ann Thorac Surg. 2006 Mar;81(3):997-1001. doi: 10.1016/j.athoracsur.2005.06.079.
5
Current management of severe congenital mitral stenosis: outcomes of transcatheter and surgical therapy in 108 infants and children.重度先天性二尖瓣狭窄的当前治疗:108例婴幼儿及儿童经导管和外科治疗的结果
Circulation. 2005 Aug 2;112(5):707-14. doi: 10.1161/CIRCULATIONAHA.104.500207. Epub 2005 Jul 25.
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Incidence and factors influencing left atrial clot in patients with mitral stenosis and normal sinus rhythm.二尖瓣狭窄且窦性心律正常患者左心房血栓的发生率及影响因素
Heart. 2004 Nov;90(11):1342-3. doi: 10.1136/hrt.2003.024315.
7
The developmental complex of "parachute mitral valve," supravalvular ring of left atrium, subaortic stenosis, and coarctation of aorta.“降落伞样二尖瓣”、左心房瓣上环、主动脉瓣下狭窄及主动脉缩窄的发育复合体。
Am J Cardiol. 1963 Jun;11:714-25. doi: 10.1016/0002-9149(63)90098-5.