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复发性晕厥的罕见病因——巨大游离性左心房血栓

An Unusual Cause of Recurrent Syncope - A Large Free-Floating Left Atrial Thrombus.

作者信息

Reddy S Sreenivas, Baryah Harkant Singh, Kaur Jaspreet, Rao K Raghavendra

机构信息

Department of Cardiology, Postgraduate Institute of Medical Education and Research, PGIMER, Chandigarh, India.

Department of Cardiothoracic and Vascular Surgery, Postgraduate Institute of Medical Education and Research, PGIMER, Chandigarh, India.

出版信息

J Cardiovasc Echogr. 2022 Apr-Jun;32(2):132-133. doi: 10.4103/jcecho.jcecho_86_21. Epub 2022 Aug 17.

DOI:10.4103/jcecho.jcecho_86_21
PMID:36249441
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9558641/
Abstract

Rheumatic heart disease is the most common valvular heart disease in developing countries. Recurrent syncope due to a large, free-floating left atrial thrombus is a rare presentation of rheumatic mitral stenosis. We report this uncommon finding on echocardiogram in an elderly woman presenting to the emergency department with giddiness for the past few months.

摘要

风湿性心脏病是发展中国家最常见的心脏瓣膜病。由巨大的、游离的左心房血栓引起的反复晕厥是风湿性二尖瓣狭窄的一种罕见表现。我们报告了一名老年女性因过去几个月头晕而到急诊科就诊，其超声心动图上出现的这一罕见发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6579/9558641/53946fcb1b91/JCE-32-132-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6579/9558641/fcc81e047e30/JCE-32-132-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6579/9558641/53946fcb1b91/JCE-32-132-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6579/9558641/fcc81e047e30/JCE-32-132-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6579/9558641/53946fcb1b91/JCE-32-132-g002.jpg

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本文引用的文献

1
History and Dissection of a Case, in Which a Foreign Body Was Found within the Heart.一例心脏内发现异物病例的病史及解剖情况
Edinb Med Surg J. 1814 Jan 1;10(37):50-54.
2
Rheumatic Heart Disease with Multiple Systemic Emboli: A Rare Occurrence in a Single Subject.风湿性心脏病合并多系统栓塞：单一病例中的罕见情况。
Cureus. 2018 Jul 11;10(7):e2964. doi: 10.7759/cureus.2964.
3
Is the thrombus truly free-floating? A case report.血栓真的是游离的吗？一例病例报告。
J Clin Ultrasound. 2014 May;42(4):252-5. doi: 10.1002/jcu.22102. Epub 2013 Oct 22.
4
Images in cardiovascular medicine. Mobile left atrial thrombus associated with mitral stenosis.心血管医学影像。与二尖瓣狭窄相关的左心房移动血栓。
Circulation. 1998 Sep 1;98(9):931-2. doi: 10.1161/01.cir.98.9.931.
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[Cerebral embolism due to left atrial ball thrombus without mitral stenosis--usefulness of the transesophageal echocardiography for the diagnosis].[无二尖瓣狭窄的左心房球形血栓所致脑栓塞——经食管超声心动图对诊断的价值]
Rinsho Shinkeigaku. 1998 Jan;38(1):13-6.
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Present status of rheumatic fever and rheumatic heart disease in India.印度风湿热和风湿性心脏病的现状
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Left atrial ball thrombus: echocardiographic features and clinical implications.左心房球形血栓：超声心动图特征及临床意义
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8
"Hole-in-one" sudden death: mitral stenosis and left atrial ball thrombus.“一杆进洞”式猝死：二尖瓣狭窄与左心房球形血栓
Am Heart J. 1976 Jun;91(6):798-804. doi: 10.1016/s0002-8703(76)80546-7.