右侧七面腔囊血栓:一个未被识别的栓塞源
Ivy Ziqian Liu1, Mohammad Alsheikh-Kassim2, Jennifer K Lang3
1Department of Medicine, Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York, USA.
JACC. Case reports
|October 3, 2025
概括
右侧心房间隔膜袋 (RSSPs) 是一种罕见的解剖学变异. 一份病例报告强调RSSPs是导致肺栓塞的血栓 (血栓) 的潜在来源,强调了诊断成像的重要性.
科学领域:
- 心脏病学 心脏病学
- 解剖病理学 解剖病理学
背景情况:
- 右侧心房间隔膜袋 (RSSPs) 是很少遇到的解剖学变异.
- 在医学文献中,RSSPs的临床意义在很大程度上仍未被定义.
研究的目的:
- 报告一个与血栓相关的右侧心房间隔膜囊 (RSSP) 的独特病例.
- 讨论RSSPs作为血栓塞栓事件的来源的潜力.
主要方法:
- 一个患有无脉动电活动心脏骤停的病人的案例介绍.
- 诊断评估,包括转食道心声扫描 (TEE),以确定RSSP和血栓.
主要成果:
- 在右侧的心脏间隔膜囊 (RSSP) 中发现了血栓.
- 患者经历了心脏骤停,可能是由于巨大的双边肺栓塞,可能源于RSSP.
- 过食管回声心电图证明在检测RSSP方面至关重要,而这可能会被胸回声心电图或CT扫描遗漏.
结论:
- 右侧心房间隔膜袋 (RSSPs) 不常见,可以充当栓塞源.
- 即使没有典型的血栓风险因素,RSSP中的血栓也可能发生.
- 过食管回声心脏图像对于诊断RSSPs和相关的血栓至关重要,特别是当其他成像方法失败时.
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