大动脉周环腹错过了胸外心声学:一个案例报告
Wenjuan He1, Yudong Peng2, Yan Yi2
1Department of Obstetrics and Gynecology The First Affiliated Hospital of Yangtze University Jingzhou China.
Clinical case reports
|January 20, 2025
概括
大动脉周环 (PA) ,感染性内心炎 (IE) 的并发症,可以通过跨胸腔心声学 (TTE) 错过. 过食管回声心脏图 (TEE) 对于检测这些关键病变至关重要,导致及时的手术干预和恢复.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 手术病理学手术病理学
背景情况:
- 大动脉周环 (PA) 是传染性内心炎 (IE) 的严重并发症.
- 早期诊断和治疗对于患者的治疗结果至关重要.
- 胸外心声扫描 (TTE) 可能在检测微妙的PAS方面存在局限性.
研究的目的:
- 为了突出一例主动脉PA最初被TTE错过的情况.
- 强调跨食管回声心脏图 (TEE) 在识别心内病变方面的诊断优势.
- 为了强调高级成像在管理IE并发症中的重要性.
主要方法:
- 一个患有IE症状的患者的病例报告.
- 最初的诊断评估包括TTE.
- 使用TEE确立了大动脉PA的最终诊断.
- 进行了手术干预.
主要成果:
- 患者出现了发烧,咳和呼吸短促.
- 在最初的TTE上没有确定大动脉PA.
- TEE成功地发现了大动脉PA.
- 患者立即接受了手术,并取得了良好的康复.
结论:
- TEE对于检测小但至关重要的心内病变,如大动脉PAs,这可能会被TTE忽视,是必不可少的.
- 及时诊断和对大动脉PA进行手术治疗对于成功治疗IE并发症至关重要.
- 这一案例凸显了TEE在疑似传染性内心炎的全面评估中不可或缺的作用.
相关概念视频
Aortic Regurgitation I: Introduction
1.7K
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
1.7K
Aortic Regurgitation II: Clinical Features and Diagnostic Tests
1.2K
Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
1.2K
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
1.3K
The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
1.3K
Aneurysm I: Introduction
660
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
660
Aneurysm II: Clinical Manifestations and Diagnostic Studies
593
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
593


