心脏三管阴侧与一个专利的圆孔呈现与栓塞性中风
Ryo Sakuma1, Mary Carter Denny2, Yue-Hin Loke3
1US Naval Hospital Yokosuka, Kanagawa, Japan.
JACC. Case reports
|June 6, 2025
概括
阴心心脏 (CTS) 是一种罕见的心脏病,可能导致栓塞性中风. 这一案例凸显了进一步研究CTS机制和最佳治疗方法以预防复发性中风的必要性.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 医疗成像医学成像
背景情况:
- 阴心心脏 (Cor triatriatum sinister,简称CTS) 是一种先天性心脏异常,其中左心房被膜划分为两个隔间.
- 人们越来越认识到CTS是栓塞性中风的潜在危险因素,尽管确切的机制尚不清楚.
研究的目的:
- 为了在一个年轻的患者身上呈现出栓塞性中风的病例,该患者有无障碍的COR triatriatum阴道和圆孔.
- 讨论CTS和栓塞性中风之间的关联,并强调需要进一步调查.
主要方法:
- 心声图和心脏计算机断层扫描用于诊断.
- 患者接受了专利卵孔装置关闭和抗凝治疗.
主要成果:
- 一名21岁的女性出现了栓塞性中风.
- 诊断检查显示了一个不受阻碍的Cor triatriatum sinister和一个专利的形孔.
结论:
- 通过CTS促进栓塞性中风的机制需要进一步阐明.
- 通过额外的研究,需要建立最佳的治疗策略,以最大限度地降低CTS患者中风复发风险.
相关概念视频
Venous Thrombosis I: Introduction
47
Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
47
Pulmonary Embolism I: Introduction
51
Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
51
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
48
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
48
Imaging Studies for Cardiovascular System II:Types of Echocardiography
400
Echocardiography plays a role in assessing cardiac health and detecting heart conditions, with various types providing critical insights for diagnosis and treatment.
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for...
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for...
400
Aneurysm II: Clinical Manifestations and Diagnostic Studies
27
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...
27
Mitral Stenosis II: Clinical features and Diagnostic Tests
39
Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
39


