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8岁儿童罕见巨大右心房动脉瘤的成功治疗:一例报告

Successful treatment of a rare giant right atrium aneurysm in an 8-year-old child: a case report.

作者信息

Amansakhatova Ekaterina, Khapaev Timur, Murashov Ivan, Manukian Serezha, Pogrebnitckaya Dariya, Kulyabin Yuriy, Kamangari Bahram, Soynov Ilya

机构信息

Meshalkin National Medical Research Center, Novosibirsk, Russian Federation.

Novosibirsk State Medical University, Novosibirsk, Russian Federation.

出版信息

Egypt Heart J. 2025 May 27;77(1):50. doi: 10.1186/s43044-025-00643-1.

Abstract

BACKGROUND

Among the various paediatric congenital heart disease pathologies, aneurysm of the right atrium represents a relatively uncommon condition and is characterised by a variety of progressive rhythm irregularities. While a number of cardiac surgical institutions advocate for medication in such cases, others persist in supporting radical surgical correction.

CASE PRESENTATION

This paper presents a clinical case in which radical surgical correction was successfully performed on a rare large aneurysm of the right atrium, associated with supraventricular tachycardia, in an 8-year-old patient.

CONCLUSIONS

An aneurysm of the RA is an extremely rare cardiac anomaly with a variable clinical presentation. Despite the availability of a conservative treatment approach, surgical correction remains the preferred option at the majority of cardiac surgery centres. This is not only to prevent the development of complications but also to achieve successful correction of RA aneurysms.

摘要

背景

在各种小儿先天性心脏病病理类型中,右心房动脉瘤是一种相对罕见的病症,其特点是出现多种进行性心律失常。虽然一些心脏外科机构主张对此类病例进行药物治疗,但另一些机构则坚持支持进行根治性手术矫正。

病例报告

本文介绍了一例临床病例,对一名8岁患有罕见的与室上性心动过速相关的巨大右心房动脉瘤患者成功实施了根治性手术矫正。

结论

右心房动脉瘤是一种极其罕见的心脏异常,临床表现多样。尽管有保守治疗方法,但在大多数心脏外科中心,手术矫正仍是首选方案。这不仅是为了预防并发症的发生,也是为了成功矫正右心房动脉瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a73/12116401/3e711e6f6891/43044_2025_643_Fig1_HTML.jpg

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