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一名无肺动脉高压的室间隔缺损患者的微泡检查结果呈阳性

A Positive Microbubble Study in Ventricular Septal Defect Patient Without Pulmonary Hypertension.

作者信息

Jin Suqin, Zhao Siyu, Wan Xiaoyu, Zhang Mei, Xu Mingjun

机构信息

Department of Neurology, The Second Hospital of Shandong University, Jinan, China.

The Key Laboratory of Cardiovascular Remodeling and Function Research, Chinese Ministry of Education, Chinese National Health Commission and Chinese Academy of Medical Sciences, The State and Shandong Province Joint Key Laboratory of Translational Cardiovascular Medicine, Department of Cardiology, Qilu Hospital of Shandong University, Jinan, China.

出版信息

JACC Case Rep. 2023 Feb 15;11:101782. doi: 10.1016/j.jaccas.2023.101782. eCollection 2023 Apr 5.

Abstract

A stroke patient with supracristal ventricular septal defect accompanying suspected patent foramen ovale underwent transthoracic and transesophageal echocardiography with agitated saline microbubble study, a positive trans-ventricular microbubble jet after Valsalva maneuver provocation was detected, indicating instantaneous transient paradoxical right-to-left shunt at late diastole might be the etiology of embolic events. ().

摘要

一名患有嵴上型室间隔缺损并疑似卵圆孔未闭的中风患者接受了经胸和经食管超声心动图检查及生理盐水微泡造影研究,检测到瓦尔萨尔瓦动作激发后出现经心室微泡喷射阳性,提示舒张期末期瞬间短暂的右向左反常分流可能是栓塞事件的病因。()

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de6a/10107004/6655d1595700/fx1.jpg

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