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罕见的下腔静脉窦型房间隔缺损并同时伴有后二尖瓣瓣叶发育不良。

A rare case of inferior sinus venosus atrial septal defect and concomitant hypoplasia of the posterior mitral valve leaflet.

机构信息

Department of Cardiology, Hospital Clinico Universitario de Valencia, Valencia, Spain.

INCLIVA Health Research Institute, Valencia, Spain.

出版信息

Echocardiography. 2024 Sep;41(9):e15923. doi: 10.1111/echo.15923.

Abstract

Inferior sinus venosus atrial septal defect (SVASD) is the rarest form of the atrial septal defect (ASD) and can sometimes go unnoticed. Although this defect can be associated with other congenital anomalies, its association with hypoplasia of the posterior mitral leaflet is extremely rare. In this case, we present a woman with a history of surgery for an ostium secundum ASD who exhibited persistent right heart chamber dilation. Echocardiography revealed hypoplasia of the posterior mitral leaflet, and cardiac magnetic resonance (CMR) imaging confirmed the presence of a previously undetected inferior sinus venosus ASD.

摘要

下腔静脉型房间隔缺损(SVASD)是房间隔缺损(ASD)中最罕见的一种类型,有时可能会被忽视。尽管这种缺陷可能与其他先天性异常有关,但它与后二尖瓣叶发育不良的关联极为罕见。在此病例中,我们介绍了一位有继发孔型 ASD 手术史的女性,她表现为持续性右心腔扩张。超声心动图显示后二尖瓣叶发育不良,心脏磁共振(CMR)成像证实存在先前未检测到的下腔静脉型房间隔缺损。

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