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使用心脏计算机断层扫描血管造影术同时识别无顶冠状静脉窦型房间隔缺损和继发孔型房间隔缺损

Simultaneous Identification of Unroofed Coronary Sinus Atrial Septal Defect and Atrial Septal Defect Secundum Using Cardiac Computed Tomography Angiography.

作者信息

Ibrahim Islam A, Howladar Mohannad T, Alsaery Tahani S, Anwar Ashraf, Ahmad Waqar

机构信息

Adult Cardiology, King Fahd Armed Forces Hospital, Jeddah, SAU.

出版信息

Cureus. 2024 Jan 19;16(1):e52575. doi: 10.7759/cureus.52575. eCollection 2024 Jan.

DOI:10.7759/cureus.52575
PMID:38370993
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10874617/
Abstract

Unroofed coronary sinus (UCS) represents a rare subtype of atrial septal defect (ASD), an adult congenital heart disease characterized by communication between the systemic and pulmonary circulations at the atrial level. This case report presents the unique occurrence of a large, unrepaired ASD secundum and an incidentally identified UCS type II in a 25-year-old female during a cardiac murmur assessment. The diagnosis of ASD secundum was initially made using transthoracic echocardiography (TTE) and was later confirmed with a transesophageal echocardiogram. The identification of the UCS was achieved through the utilization of cardiac computed tomography angiography (CCTA). Ultimately, the patient underwent a successful reroofing procedure using a bovine pericardial patch.

摘要

无顶冠状静脉窦（UCS）是房间隔缺损（ASD）的一种罕见亚型，ASD是一种成人先天性心脏病，其特征是在心房水平上体循环和肺循环之间存在交通。本病例报告展示了一名25岁女性在心脏杂音评估期间出现大型、未修复的继发孔型ASD以及偶然发现的II型UCS这一独特情况。继发孔型ASD最初通过经胸超声心动图（TTE）诊断，后来经食管超声心动图得以证实。UCS是通过心脏计算机断层扫描血管造影（CCTA）识别出来的。最终，患者使用牛心包补片成功进行了再覆盖手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0f8/10874617/7e63915f9443/cureus-0016-00000052575-i12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0f8/10874617/b687c88f3eb0/cureus-0016-00000052575-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0f8/10874617/45ed10d450c7/cureus-0016-00000052575-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0f8/10874617/59ec1dc56ac3/cureus-0016-00000052575-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0f8/10874617/633f94cafe2a/cureus-0016-00000052575-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0f8/10874617/8dbff0e6be3b/cureus-0016-00000052575-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0f8/10874617/b9cc14394581/cureus-0016-00000052575-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0f8/10874617/b56106498680/cureus-0016-00000052575-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0f8/10874617/f70f35a79779/cureus-0016-00000052575-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0f8/10874617/473659004543/cureus-0016-00000052575-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0f8/10874617/b67d6d9c2e6d/cureus-0016-00000052575-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0f8/10874617/3daf694b9a68/cureus-0016-00000052575-i11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0f8/10874617/7e63915f9443/cureus-0016-00000052575-i12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0f8/10874617/b687c88f3eb0/cureus-0016-00000052575-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0f8/10874617/45ed10d450c7/cureus-0016-00000052575-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0f8/10874617/59ec1dc56ac3/cureus-0016-00000052575-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0f8/10874617/633f94cafe2a/cureus-0016-00000052575-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0f8/10874617/8dbff0e6be3b/cureus-0016-00000052575-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0f8/10874617/b9cc14394581/cureus-0016-00000052575-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0f8/10874617/b56106498680/cureus-0016-00000052575-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0f8/10874617/f70f35a79779/cureus-0016-00000052575-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0f8/10874617/473659004543/cureus-0016-00000052575-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0f8/10874617/b67d6d9c2e6d/cureus-0016-00000052575-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0f8/10874617/3daf694b9a68/cureus-0016-00000052575-i11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0f8/10874617/7e63915f9443/cureus-0016-00000052575-i12.jpg

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