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一例罕见的广泛双心室心脏结节病伴可逆性 torrential 三尖瓣反流。

A rare case of extensive biventricular cardiac sarcoidosis with reversible torrential tricuspid regurgitation.

机构信息

Department of Echocardiography, Royal Brompton & Harefield Hospitals, Guy's and St, Thomas' NHS Foundation Trust, London, UK.

National Heart & Lung Institute, Imperial College London, Guy Scadding Building, Dovehouse St, London, SW3 6LY, UK.

出版信息

J Nucl Cardiol. 2023 Oct;30(5):1904-1909. doi: 10.1007/s12350-023-03307-2. Epub 2023 May 31.

DOI:10.1007/s12350-023-03307-2
PMID:37258952
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10558384/
Abstract

Reversal of torrential tricuspid regurgitation is rarely seen. We describe a case in which effective immunosuppression alongside conventional heart failure therapies lead to reversibility of torrential tricuspid regurgitation in a patient with cardiac sarcoidosis. We also discuss the diagnostic challenge in distinguishing cardiac sarcoidosis from other myocardial diseases in a patient presenting with biventricular failure.

摘要

严重三尖瓣反流的逆转很少见。我们描述了一例心脏结节病患者，在有效的免疫抑制治疗联合常规心力衰竭治疗后，严重三尖瓣反流得到了逆转。我们还讨论了在出现双心室衰竭的患者中，从其他心肌疾病中鉴别出心脏结节病的诊断挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32c3/10558384/bbcba8a78e09/12350_2023_3307_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32c3/10558384/e132616404f4/12350_2023_3307_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32c3/10558384/695442b056f8/12350_2023_3307_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32c3/10558384/d0894c7801dd/12350_2023_3307_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32c3/10558384/6e9afe7bfbc1/12350_2023_3307_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32c3/10558384/bbcba8a78e09/12350_2023_3307_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32c3/10558384/e132616404f4/12350_2023_3307_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32c3/10558384/695442b056f8/12350_2023_3307_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32c3/10558384/d0894c7801dd/12350_2023_3307_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32c3/10558384/6e9afe7bfbc1/12350_2023_3307_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32c3/10558384/bbcba8a78e09/12350_2023_3307_Fig5_HTML.jpg

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本文引用的文献

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Reversible severe tricuspid regurgitation associated with Graves' disease: A case report.与格雷夫斯病相关的可复性重度三尖瓣反流：一例报告。
Medicine (Baltimore). 2021 Dec 23;100(51):e28432. doi: 10.1097/MD.0000000000028432.
2
Long-Term Follow-Up of Mortality and Heart Failure Hospitalisation in Patients With Intracardiac Device-Related Tricuspid Regurgitation.心内装置相关三尖瓣反流患者的死亡率和心力衰竭住院的长期随访。
Heart Lung Circ. 2021 May;30(5):692-697. doi: 10.1016/j.hlc.2020.08.028. Epub 2020 Oct 31.
3
Noncontrast Magnetic Resonance for the Diagnosis of Cardiac Amyloidosis.
非对比磁共振成像在心脏淀粉样变性诊断中的应用。
JACC Cardiovasc Imaging. 2020 Jan;13(1 Pt 1):69-80. doi: 10.1016/j.jcmg.2019.03.026. Epub 2019 Jun 12.
4
Morphologic Types of Tricuspid Regurgitation: Characteristics and Prognostic Implications.三尖瓣反流的形态学类型：特征与预后意义。
JACC Cardiovasc Imaging. 2019 Mar;12(3):491-499. doi: 10.1016/j.jcmg.2018.09.027.
5
Echocardiographic assessment of the cardiac amyloidoses.心脏淀粉样变的超声心动图评估
Circ J. 2015;79(4):721-34. doi: 10.1253/circj.CJ-14-1425. Epub 2015 Mar 12.
6
Cardiac sarcoidosis with primary involvement of the tricuspid valve.以三尖瓣为主要受累部位的心脏结节病。
Cardiol Rev. 2006 Sep-Oct;14(5):e12-3. doi: 10.1097/01.crd.0000181620.57608.09.
7
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