一个未被诊断的闪光复杂在一个52岁的女性:一个案例报告
Lila H Abu-Hilal1, Yumna Njoum1, Duha I Barghouthi1
1Al-Quds University, Jerusalem, Palestine.
Journal of investigative medicine high impact case reports
|January 30, 2024
概括
这份病例报告详细介绍了一个罕见的晚期诊断的Shone复杂 (SC),一个先天性心脏缺陷,在一个52岁的女人. 它强调了在患有左侧阻塞性心脏病变的成年人中考虑不完整的SC的重要性.
科学领域:
- 心脏病学 心脏病学
- 遗传性心脏病是一种先天性心脏病.
- 成年人的先天性心脏病
背景情况:
- 肖恩综合体 (SC) 是一种罕见的先天性心脏病,其特征是多个左侧阻塞异常.
- 通常在幼儿时代出现SC,使成人诊断不常见.
研究的目的:
- 报告一个罕见的病例,一名成年女性在52岁时被诊断出患有不完整的Shone复合体.
- 强调在成人患者中晚期诊断SC的可能性.
- 强调在左侧阻塞性病变的成年患者中考虑SC的重要性.
主要方法:
- 一个52岁的女性病例报告,有高血压和中风病史.
- 诊断调查包括心声回声学,心脏导管,大动脉血管学和非对比胸部CT.
- 评估显示严重的大动脉狭窄,严重的 mitrales 狭窄和大动脉缩.
主要成果:
- 这位患者在52岁时被诊断出患有不完整的Shone复合体.
- 心声显示了化双主动脉与严重的大动脉狭窄以及降落 mitra 与严重 mitra 狭窄.
- 心脏导管和血管造影证实了大动脉缩与显著的附带循环.
结论:
- 肖恩综合体的晚期呈现很少见,但在成年人中是可能的.
- 在出现左侧阻塞性心脏病变的成年患者中,应考虑不完整的SC.
- 早期诊断和干预对于改善SC患者的治疗结果至关重要.
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