同一患者的漏斗胸、卵圆孔未闭与偏头痛
Pectus Excavatum, Patent Foramen Ovale, and Migraine in the Same Patient.
作者信息
Tricard Jeremy, Maltais François, Rodès-Cabau Josep, Conti Massimo
机构信息
Cardiothoracic Surgery Department, Dupuytren Hospital, Limoges, France.
Institut Universitaire de Cardiologie et de Pneumologie de Québec, Université Laval, Quebec City, Quebec, Canada.
出版信息
JACC Case Rep. 2025 Aug 6;30(22):104629. doi: 10.1016/j.jaccas.2025.104629.
BACKGROUND
A patent foramen ovale (PFO) can be found in patients with pectus excavatum (PE); PFO can be associated with migraines.
CASE SUMMARY
A 22-year-old woman presents a PE and a history of recurrent migraines. Pulsed oxygen saturation at effort decreased from 97% to 92%. A transthoracic echocardiography showed a PFO. Five years after the Ravitch procedure, pulsed oxygen saturation remained stable at effort, no PFO was shown on transthoracic echocardiography, and migraine disappeared.
DISCUSSION
Our observation is the first description of the PE, PFO, and migraine association. The correction of PE has allowed the closure of the PFO and improved migraines.
TAKE-HOME MESSAGES: This case report suggests that a patient presenting a PE should undergo a comprehensive cardiorespiratory evaluation. Similarly, patients with a symptomatic PFO and PE should benefit from a multidisciplinary discussion involving thoracic surgeons to determine the best approach to treat the PFO.
背景
漏斗胸（PE）患者中可发现卵圆孔未闭（PFO）；PFO可能与偏头痛有关。
病例摘要
一名22岁女性患有漏斗胸且有复发性偏头痛病史。运动时脉搏血氧饱和度从97%降至92%。经胸超声心动图显示有PFO。在进行Ravitch手术后五年，运动时脉搏血氧饱和度保持稳定，经胸超声心动图未显示PFO，偏头痛消失。
讨论
我们的观察是对漏斗胸、PFO和偏头痛关联的首次描述。漏斗胸的矫正使PFO闭合并改善了偏头痛。
要点
本病例报告表明，患有漏斗胸的患者应接受全面的心肺评估。同样，有症状的PFO和漏斗胸患者应受益于包括胸外科医生在内的多学科讨论，以确定治疗PFO的最佳方法。
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