马歇尔的带:远非遗留物!
Raghav Chandra1, Jasmina Ehab1, Madhuri Nagaraj1
1Department of Surgery, University of Texas Southwestern Medical Center, Dallas, Texas.
Annals of thoracic surgery short reports
|March 18, 2025
概括
马歇尔带 (LOM),一个胚胎遗留物,是心房动 (AF) 的关键焦点和治疗点. 切除LOM提供了一种降低AF风险的策略,特别是在肺移植后.
科学领域:
- 心脏病学 心脏病学
- 胚胎学 胚胎学
- 电力生理学 电力生理学
背景情况:
- 马歇尔带 (LOM) 是左前庭中的胚胎遗留物.
- 它包含左枢纽静脉的残余,肌肉束和神经纤维.
- 尽管它的遗迹性质,LOM具有重要的临床影响.
研究的目的:
- 审查LOM的胚胎起源.
- 讨论其在心房动 (AF) 发病过程中的作用.
- 探索LOM切除作为一种治疗策略.
主要方法:
- 对LOM胚胎发育的审查.
- 对LOM在AF中的生理作用的分析.
- 讨论针对LOM的电生理学和外科切除技术.
主要成果:
- 腰部,特别是它的远端段,充当AF的触发和传播途径.
- 电生理疗法 (射频,酒精切除) 针对的是LOM.
- 对LOM的手术切除对于左心房病变组至关重要,并且可能减少肺移植后的术后AF.
结论:
- 马歇尔带是 Paroxysmal AF 的一个重要焦点.
- 它作为电生理学和手术干预的强有力的治疗点.
相关概念视频
The Auditory Ossicles
1.5K
The auditory ossicles of the middle ear transmit sounds from the air as vibrations to the fluid-filled cochlea. The auditory ossicles consist of two malleus (hammer) bones, two incus (anvil) bones, and two stapes (stirrups), one on each side. These bones develop during the fetal stage and are the ones to ossify first. They are fully mature at birth and do not grow afterward.
The aptly named stapes look very much like a stirrup. The three ossicles are unique to mammals, and each plays a role in...
The aptly named stapes look very much like a stirrup. The three ossicles are unique to mammals, and each plays a role in...
1.5K
Larynx
1.1K
The human larynx, often referred to as the voice box, is an intricate organ located in the neck. It serves as a pathway for air to enter the lungs during respiration and is an essential component of voice production.
Anatomy of the Larynx
The larynx consists of various components, including cartilage, muscles, and vocal cords. Its structure includes three large unpaired cartilages—the thyroid, cricoid, and epiglottis—and three smaller paired cartilages—the arytenoids,...
Anatomy of the Larynx
The larynx consists of various components, including cartilage, muscles, and vocal cords. Its structure includes three large unpaired cartilages—the thyroid, cricoid, and epiglottis—and three smaller paired cartilages—the arytenoids,...
1.1K
Ankle Joint
1.4K
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
1.4K
Knee Joint
1.4K
The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
1.4K
Structural Joints: Fibrous Joints
1.9K
Fibrous joints are a type of joint where the bones are connected by fibrous connective tissue. These joints provide stability and minimal to no movement between the articulating bones. There are three types of fibrous joints.
Suture
All the bones of the skull, except for the mandible, are joined to each other by a fibrous joint called a suture. The fibrous connective tissue found at a suture strongly unites the adjacent skull bones and thus helps to protect the brain and form the face. In...
Suture
All the bones of the skull, except for the mandible, are joined to each other by a fibrous joint called a suture. The fibrous connective tissue found at a suture strongly unites the adjacent skull bones and thus helps to protect the brain and form the face. In...
1.9K
Structural Joints: Cartilaginous Joints
2.1K
As the name indicates, at a cartilaginous joint, the adjacent bones are united by cartilage, a tough but flexible type of connective tissue. Unlike synovial joints, these types of joints lack a joint cavity and involve bones joined together by either hyaline cartilage or fibrocartilage.
There are two types of cartilaginous joints:
Synchondrosis
A synchondrosis ("joined by cartilage") is a cartilaginous joint where bones are connected by hyaline cartilage. Synchondrosis may be temporary...
There are two types of cartilaginous joints:
Synchondrosis
A synchondrosis ("joined by cartilage") is a cartilaginous joint where bones are connected by hyaline cartilage. Synchondrosis may be temporary...
2.1K


