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二维超声心动图对房室通道合并三房心的诊断

[2-dimensional contrast echocardiographic diagnosis of associated atrioventricular canal and cor triatriatum].

作者信息

Piot J D, David P, Touchot A, Zeitouni R, Piot C, Binet J P

出版信息

Arch Mal Coeur Vaiss. 1983 May;76(5):632-5.

PMID:6411040
Abstract

2D echocardiography provided the diagnosis of partial atrioventricular canal associated with cor triatriatum in a 4 year old child. The apical four chamber view showed an ostium primum and the presence of an abnormal transverse echo in the left atrium, dividing it into ventral and dorsal chambers. Contrast echocardiography in the four chamber apical view showed an atrial right to left shunt and only opacification of the ventral chamber of the left atrium at the mitral orifice. On the other hand, the dorsal chamber which received the pulmonary veins could not be opacified by contrast. The contrast injection allowed the diagnosis to be confirmed by demonstrating the division of the left atrium into two chambers.

摘要

二维超声心动图诊断出一名4岁儿童患有部分房室通道合并三房心。心尖四腔心切面显示原发孔型房间隔缺损以及左心房内有一异常横向回声,将左心房分为腹侧腔和背侧腔。心尖四腔心切面的对比超声心动图显示心房水平右向左分流,且仅在二尖瓣口处左心房腹侧腔显影。另一方面,接受肺静脉回流的背侧腔在注射造影剂后未显影。通过造影剂注射显示左心房分为两个腔,从而得以确诊。

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