从一个患有硬左心室综合征的病例中学到的经验教训,其复杂性是由阴性心室间的分流:一个病例报告
Arisa Senda1, Kensuke Matsumoto1, Masahiko Hoshijima1
1Department of Internal Medicine, Hyogo Prefectural Tamba Medical Centre, 2002-7, Hikami-cho Iso, Tamba, Hyogo 669-3495, Japan.
European heart journal. Case reports
|July 27, 2023
概括
硬左心房 (LA) 综合征会损害心脏功能,导致心力衰竭. 在患有这种病症的患者中,一条缓解心房间间压力的通道提供了轻微的症状缓解.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 电子生理学 电子生理学
背景情况:
- 硬左心室 (LA) 综合征的特征是由于纤维化而导致LA储功能受损.
- 这导致LA压升高,肺静脉高血压,拥堵和心力衰竭.
研究的目的:
- 呈现一个病例的硬左心房综合征在一个患者的病史中心肌狭窄和心房动.
- 评估心房间压力缓解门对患有硬性LA综合征的患者症状管理的影响.
主要方法:
- 一名79岁的女性,在病史中曾经进行过中枢置换,Cox-Maze IV手术和多次导管切除,出现了暗示刚性LA综合征的症状.
- 胸外心声扫描显示,在心房间隔膜上有连续的颜色喷射,表明有残留的穿孔孔.
- 经食道心声学评估了假体门功能和肺静脉流动,而心脏导管检查证实了特征性的硬LA压力波形.
主要成果:
- 心声图和心脏导管检查证实了显著损害的LA功能和硬的LA压力波形.
- 尽管不符合LA,但患者仍然有轻微的症状,归因于心房间压力缓解门户.
结论:
- 在患有硬性LA综合征的患者中,心房间压力缓解门可能会带来症状益处.
- 刚性LA综合征的管理仍然具有挑战性,这突显了对新型治疗策略的需求.
相关概念视频
Mitral Stenosis I: Introduction
18
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
18
Cardiomyopathy V: Interprofessional Care
16
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
16
Cardiomyopathy III: Hypertrophic Cardiomyopathy
16
Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
16
Mitral Stenosis III: Medical Management
13
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
13
Cardiac Catheterization III: Left Heart Catheterization
63
Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
63
Mitral Regurgitation I: Introduction
18
Mitral regurgitation is characterized by the backward circulation of blood from the left ventricle to the left atrium during systole, a phase of the cardiac cycle when the heart contracts and pumps blood out of the chambers. This abnormal flow occurs primarily due to the dysfunction of the mitral valve or its supporting structures, which include the mitral leaflets, chordae tendineae, annulus, and papillary muscles.Etiology and Mechanisms:Primary Mitral Regurgitation: This type arises from...
18


