一名患有额外心腔的孕妇：一种获得性医源性并发症——病例报告及文献综述
A PREGNANT WOMAN WITH AN EXTRA CARDIAC CAVITY: AN ACQUIRED IATROGENIC COMPLICATION - A CASE REPORT AND LITERATURE REVIEW.
作者信息
Bigdelu Leila, Maadarani Ossama
机构信息
Divison of Cardiovascular Medicine, Vascular Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Critical Care Unit, Internal Medical Department, Ahmadi Hospital-Kuwait Oil Company, Kuwait.
出版信息
Eur J Case Rep Intern Med. 2023 Feb 9;10(2):003757. doi: 10.12890/2023_003757. eCollection 2023.
UNLABELLED
According to the modified World Health Organization (WHO) classification, mechanical valves pose a high maternal risk and complications for pregnant women with heart disease. Left atrial appendage aneurysm (LAAA) is a rare condition that can manifest clinically in several ways or remain silent for a long time and can be either congenital or acquired. We present the case of a pregnant woman who had a LAAA discovered several years after her last mitral valve replacement.
LEARNING POINTS
Left atrial appendage aneurysm is a rare entity and, in most cases, is congenital due to poor myocardial contractility of dysplastic pectinate muscles.Clinical manifestations range from an asymptomatic course with an incidental finding on echocardiography up to serious sequelae such as cardioembolic manifestations.The treatment approach includes a conservative strategy using anticoagulation and a surgical strategy with aneurysmectomy.
未标注
根据世界卫生组织（WHO）的修订分类，机械瓣膜对患有心脏病的孕妇构成高产妇风险和并发症。左心耳动脉瘤（LAAA）是一种罕见病症，可通过多种方式在临床上表现出来，或长期无症状，且可为先天性或后天性。我们报告一例孕妇病例，其在最后一次二尖瓣置换术后数年发现患有左心耳动脉瘤。
学习要点
左心耳动脉瘤是一种罕见实体，在大多数情况下，是由于发育不良的梳状肌心肌收缩力差而先天性形成的。临床表现范围从超声心动图偶然发现的无症状病程到严重后遗症，如心脏栓塞表现。治疗方法包括使用抗凝的保守策略和进行动脉瘤切除术的手术策略。
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