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一个无症状的年轻成年人的四柱动脉:一个病例报告

Parag Karki¹, Sharada Kc¹, Aashish Bastakoti²

¹Department of Internal Medicine, Nepalese Army Institute of Health Sciences, Kathmandu, Nepal.

Annals of medicine and surgery (2012)

|March 20, 2025

概括

四柱动脉 (QAV) 是一种罕见的先天性心脏缺陷,即使在无症状患者中,也可以在例行检查中检测到. 通过体检和成像进行早期诊断是管理潜在并发症的关键,例如大动脉吐.

科学领域:

心脏病学心脏病学
遗传性心脏病是一种先天性心脏病.
膜心脏疾病膜心脏疾病

背景情况:

四大动脉 (QAV) 是一种罕见的先天性异常,比双或单更为罕见.
症状,当存在时,通常涉及到大动脉吐 (呼吸短促,心) 或大动脉狭窄 (强迫性呼吸障碍,昏迷).

研究的目的:

突出例行体检在诊断罕见先天性心脏病方面的重要性.
强调早期诊断和成像在管理QAV及其并发症中的作用.

主要方法:

在例行检查期间诊断出QAV的无症状男性的案例介绍.
诊断证实通过 transthoracic 心声学.
诊断过程包括CT冠状动脉造影和CT动脉造影,以进行详细的形态和并发症评估.

主要成果:

在一个无症状的个体中通过例行体检和心脏听觉诊断QAV.
胸外心声扫描证实了QAV的诊断.
进一步的成像 (CT血管图/动脉图) 评估了膜形态,并确定了潜在的大动脉根扩张.

结论:

常规体检对于在无症状患者中检测罕见的先天性心脏缺陷如QAV至关重要.
通过体检和适当的成像 (心声学,CT) 早期诊断对于管理QAV和预防诸如大动脉吐和根扩张等并发症至关重要.

关键词:

一大动脉的反.计算机断层扫描 (CT) 是一种计算机断层扫描.出生性大动脉的异常超声心电图 (Echocardiography) 是一种心声回声仪.四柱主动脉门的四柱主动脉门

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