一个倒置的左心房附属物 - - 当它给桌子上的一个惊喜
Ancy Robinson1, Thiruvenkitasamy Nareshkumar1, Madhava Rao Bathala1
1Department of Cardiothoracic Surgery, G. Kuppuswamy Naidu Memorial Hospital, Nethaji Road, Pappanaickenpalayam, Coimbatore, 641037 Tamil Nadu India.
Indian journal of thoracic and cardiovascular surgery
|August 19, 2024
概括
在左心室血栓切除术后发现的一种新的左心房质量,最初是关于脱离的血栓. 然而,手术期间的探索显示它是一个倒置的左心房附属体.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 医疗成像医学成像
背景情况:
- 在外科手术期间评估心脏结构的过程中,手术内转食道心声学 (TEE) 是至关重要的.
- 在心脏病后的手术中发现的左心房质量需要迅速区分.
研究的目的:
- 报告左心室血栓切除术后新发现的左心房质量的病例.
- 为了突出准确的内科手术诊断左心房质量的重要性.
主要方法:
- 一名34岁的男性患者接受了左心室 (LV) 血栓切除术.
- 在心肺绕道术后进行了手术内TEE.
- 进行了手术探索,以确定左心房 (LA) 质量的性质.
主要成果:
- 一个以前未被检测到的左心房质量在手术内TEE上被可视化.
- 经过手术检查,发现这块质体是一个倒置的左心房附属体.
- 这一发现排除了脱离血栓的可能性.
结论:
- 一个倒置的左心房附属体可以模仿在手术内TEE上的血栓.
- 仔细的手术期间评估至关重要,以区分瘤和解剖学变异.
- 这一案例强调了在心脏手术期间识别左心房质量的诊断挑战.
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