右心房附属体的左侧对立:诊断中的陷
Kanya Singhapakdi1, Wesam Sourour1, Thomas R Kimball1
1Department of Pediatric Cardiology, Children's Hospital New Orleans, Louisiana State University Health Sciences Center, 200 Henry Clay Ave, New Orleans, Louisiana, USA 70118.
Case reports in cardiology
|November 29, 2023
概括
本病例报告详细介绍了一种不寻常的变体,即右心房附属体左侧并置 (LJRAA),没有其他心脏缺陷. 准确的诊断需要重新解释和先进的成像,将其与大动脉剖析区分开来.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 遗传性心脏病是一种先天性心脏病.
背景情况:
- 右心房附属体 (RAA) 的先天性异常包括动脉瘤,,和左侧并置.
- 左侧RAA (LJRAA) 的对立通常与复杂的心脏形有关,例如左心室外流通道阻塞.
研究的目的:
- 描述LJRAA的一种不常见的表现.
- 突出诊断挑战和多式联络成像在识别这种异常中的作用.
主要方法:
- 案例报告分析.案例报告分析.
- 对成像方式的审查,包括心声学,CT和MRI.
- 对于大动脉剖析的差异诊断考虑.
主要成果:
- 在没有其他心脏缺陷的情况下,发现了一种不寻常的LJRAA变异.
- 这种情况最初被误诊为大动脉解剖.
- 多式成像证实了LJRAA的正确诊断.
结论:
- RAA的左侧并置可以作为一个孤立的异常发生.
- 仔细的重新评估和先进的成像对于准确诊断罕见的心脏形至关重要.
- 将LJRAA与其他心血管紧急情况 (如大动脉剖析) 区分开来至关重要.
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