腹腔血管造影:一个被遗忘的诊断工具?
Georgiana Pintea Bentea1, Brahim Berdaoui1, Sophie Samyn1
1Department of Cardiology, CHU Brugmann, 1020 Brussels, Belgium.
Diagnostics (Basel, Switzerland)
|July 13, 2024
概括
本案例研究强调了在76岁被诊断出心律失常性右心室心肌病 (ARVC),这是最新记录的情况. 右心室血管造影证实了ARVC,揭示了特征性的"堆 d'assiettes"成像.
科学领域:
- 心脏病学 心脏病学
- 心血管成像 - 心血管成像
- 遗传学 是一个遗传学.
背景情况:
- 节律失调性右室心肌病变 (ARVC) 是一种遗传性心肌疾病.
- 它通常影响年轻人,导致心室节律失常和心力衰竭.
- 晚期发病的ARVC很少见,这给诊断带来了挑战.
研究的目的:
- 报告一个独特的心律失常性右室心肌病变 (ARVC) 病例,呈现非常晚.
- 强调右心室血管造影在具有挑战性的ARVC病例中的诊断效用.
- 为了解ARVC的各种临床表现作出贡献.
主要方法:
- 临床表现是急性不补偿右心力衰竭和心室性心力衰竭.
- 诊断工作包括心电图,心声图,冠状动脉图,心脏MRI,信号平均心电图和RV血管图.
- 分析了特征性的心电图发现 (epsilon波,反向T波) 和成像特征.
主要成果:
- 一名76岁的男性出现了症状,心电图发现表明ARVC.
- 心脏成像显示了显著的右心室扩张,功能障碍和纤维脂肪替代.
- 右心室血管造影显示了病理学上的"堆"标志,证实了ARVC.
结论:
- 节律失调的右心室心肌病变 (ARVC) 可以在生命的晚期呈现异常.
- 右心室血管造影仍然是诊断ARVC的关键工具,特别是在复杂或晚发病例中.
- 这个病例代表了ARVC呈现的最古老的记录年龄,扩大了已知的疾病谱.
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