双左心房附属体:一个诊断困境
Nilanjan Dutta1, Debasis Das1, Unmesh Chakraborty1
1Department of Cardiac Surgery, Narayana Superspeciality Hospital, Howrah, West Bengal, India.
Annals of pediatric cardiology
|May 20, 2024
概括
在婴儿手术期间发现了一种罕见的双左心房附属体 (LAA) 病例. 这种不寻常的发现模仿了一种危险的血栓,这给诊断带来了挑战.
科学领域:
- 心脏病学 心脏病学
- 儿科心脏手术 儿科心脏手术
- 遗传性心脏病是一种先天性心脏病.
背景情况:
- 心脏结构的解剖学变异可能会带来诊断挑战.
- 左心房附属体 (LAA) 是血栓形成的常见部位,经常模仿其他质量.
研究的目的:
- 报告双左心房附属体 (LAA) 的一个独特的手术内发现.
- 为了突出一个模仿心脏质量或血栓的发育LAA所带来的诊断困境.
主要方法:
- 在外科手术期间,通过食道进行心声回声.
- 在心肺旁路和心脏骤停后进行手术探索.
主要成果:
- 另外,之前未被检测到的左心房附属体 (LAA) 被确定.
- 附带的LAA被发现进入左前庭 (LA),呈现为一个突发的质量.
- 据证实,该质量是双LAA,而不是血栓.
结论:
- 双心房附属体很少见,可能导致误诊.
- 仔细的手术内评估对于识别异常的心脏解剖学和避免诊断错误至关重要.
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