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接受心肺复苏和体外膜肺氧合治疗患者的CT血管造影显示右心房破裂：一例报告

Right Atrial Rupture on CT Angiography in a Patient Receiving Cardiopulmonary Resuscitation and Extracorporeal Membrane Oxygenation: A Case Report.

作者信息

Koo Bon Jae, Kang Eun-Ju, Kim Hyun Jin, Lee Dong Hyun

出版信息

J Korean Soc Radiol. 2024 Nov;85(6):1209-1214. doi: 10.3348/jksr.2024.0014. Epub 2024 Nov 21.

DOI:10.3348/jksr.2024.0014
PMID:39660308
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11625849/
Abstract

Cardiac rupture is a rare but fatal complication among patients undergoing cardiopulmonary resuscitation (CPR). Myocardial rupture can manifest as a discontinuity in the myocardial wall, communication between the ventricle or atrium and the pericardium, hemopericardium, or active extravasation of contrast into the pericardium. It can also occur alongside pericardial rupture or hemothorax. Diagnosing myocardial rupture via imaging is uncommon due to its clinical urgency and high mortality rate. We present a rare case of a 50-year-old man who developed a right atrial rupture, as seen on CT angiography, following CPR and venoarterial extracorporeal membrane oxygenation (VA-ECMO) for sudden cardiac arrest.

摘要

心脏破裂是心肺复苏（CPR）患者中一种罕见但致命的并发症。心肌破裂可表现为心肌壁连续性中断、心室或心房与心包之间连通、心包积血或造影剂主动渗入心包。它也可能与心包破裂或血胸同时发生。由于其临床紧迫性和高死亡率，通过影像学诊断心肌破裂并不常见。我们报告一例罕见病例，一名50岁男性在因心脏骤停接受心肺复苏和静脉-动脉体外膜肺氧合（VA-ECMO）治疗后，CT血管造影显示出现右心房破裂。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a0a/11625849/2f2b9ac91195/jksr-85-1209-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a0a/11625849/2f2b9ac91195/jksr-85-1209-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a0a/11625849/2f2b9ac91195/jksr-85-1209-g001.jpg

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本文引用的文献

1
CT Angiography of Venoarterial Extracorporeal Membrane Oxygenation.CT 血管造影在静脉-动脉体外膜肺氧合中的应用。
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Isolated right atrial rupture from blunt trauma: a case report with systematic review of a lethal injury.钝性创伤导致的孤立性右心房破裂：一例病例报告及对这种致命损伤的系统综述
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A systematic review and pooled analysis of CPR-associated cardiovascular and thoracic injuries.心肺复苏相关心血管和胸部损伤的系统评价与汇总分析
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7
Forensic aspects of complications resulting from cardiopulmonary resuscitation.心肺复苏并发症的法医学问题。
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Cardiac rupture by penetration of fractured sternum: a rare complication of cardiopulmonary resuscitation.骨折胸骨穿透导致心脏破裂：心肺复苏的一种罕见并发症。
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