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特发性右心房扩张:诊断与治疗。

Idiopathic Dilatation of the Right Atrium: Diagnosis and Management.

机构信息

Institute for Cardiovascular Diseases "Dedinje," Belgrade, Serbia.

University of Belgrade Faculty of Medicine, Belgrade, Serbia.

出版信息

Tex Heart Inst J. 2023 Dec 13;50(6). doi: 10.14503/THIJ-23-8192.

Abstract

Idiopathic dilatation of the right atrium is a rare condition with an unknown etiology. It is characterized by a significant enlargement of the right atrium without the presence of other valvopathies, intracardiac shunts, or pulmonary hypertension. This report presents the case of a 50-year-old woman with a significantly enlarged right atrium that was identified at birth; however, a definitive diagnosis was made later in life. The patient did not have any genetic diseases. Through the help of regular follow-up, anticoagulant therapy, previous radio-frequency ablation, and antiarrhythmic medications, she was able to carry a pregnancy to full term and live a regular life.

摘要

特发性右心房扩张症是一种罕见的疾病,其病因不明。其特征是右心房显著扩大,而不存在其他瓣膜病、心内分流或肺动脉高压。本报告介绍了一例 50 岁女性患者,其右心房显著扩大,在出生时即被发现;然而,直到后来才做出明确诊断。该患者没有任何遗传性疾病。通过定期随访、抗凝治疗、先前的射频消融术和抗心律失常药物治疗,她成功地妊娠至足月并过上了正常的生活。

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