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一名63岁女性患者的双入口左心室病例。

A Case of Double Inlet Left Ventricle in a 63-Year-Old Female Patient.

作者信息

Benelli Alan E, Benelli Nicolas D, Buitrago Ivan

机构信息

Internal Medicine, St. George's University School of Medicine, St. George's, GRD.

Cardiology, Jackson Memorial Hospital, Miami, USA.

出版信息

Cureus. 2024 Apr 25;16(4):e58978. doi: 10.7759/cureus.58978. eCollection 2024 Apr.

Abstract

This case report describes the medical history and presentation of an elderly patient who was born with single ventricle physiology, an anomaly that is both unique and complex. Patients with single ventricle cardiac anomalies may be susceptible to life-threatening complications. However, advances in medical treatment and understanding have allowed for clinicians to develop surgical and medical interventions to treat patients with univentricular cardiac defects. This case is unique in the sense that the patient has been able to demonstrate remarkable adaptability to this condition and have a sustained life with little intervention. This report serves to explore the pathophysiology of this condition as well as highlight the human body's astounding resilience to configure itself to abnormal conditions. The patient's presentation will be discussed as well as diagnostics and management utilized by the care providers. Despite its rare occurrence, understanding the manifestations of this complex cardiac abnormality can allow future providers to improve the prognosis and outcomes of patients born with a single ventricle.

摘要

本病例报告描述了一名患有单心室生理结构的老年患者的病史和临床表现,这种异常既独特又复杂。患有单心室心脏异常的患者可能易发生危及生命的并发症。然而,医学治疗和认知的进步使临床医生能够制定手术和药物干预措施来治疗单心室心脏缺陷患者。该病例的独特之处在于,患者能够对这种状况表现出显著的适应性,并且在很少干预的情况下维持生命。本报告旨在探讨这种状况的病理生理学,同时突出人体在适应异常状况时令人惊叹的复原能力。将讨论患者的临床表现以及医护人员所采用的诊断和管理方法。尽管这种情况罕见,但了解这种复杂心脏异常的表现可以让未来的医护人员改善患有单心室的患者的预后和治疗结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/167c/11127501/eef65cbef099/cureus-0016-00000058978-i01.jpg

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