冠状动脉栓塞来自阴道静脉ASD与PAPVD
Jasper Lin1, Bradley Hefford1, Jeremy Hefford1
1Division of Specialist Medical Services, Department of Cardiology, Gold Coast Hospital and Health Services, Southport, Queensland, Australia.
悖论性栓塞 (PDE) 可以导致急性冠状动脉综合征,即使没有典型的危险因素. 使用成像的早期诊断对于治疗这种罕见的疾病至关重要,这种疾病通常与心脏结构缺陷有关.
科学领域:
- 心脏病学 心脏病学
- 诊断成像 诊断成像 诊断成像
- 干预心脏病学 干预心脏病学
背景情况:
- 悖论性栓塞 (PDE) 是急性冠状动脉综合征的一个罕见原因.
- 阴道静脉心脏隔膜缺陷 (ASDs) 可以导致成人PDE.
研究的目的:
- 强调在心肌梗塞中考虑PDE的重要性.
- 强调多模式成像在PDE诊断中的作用.
主要方法:
- 一个52岁的男性患有非ST升高肌肉梗塞的病例报告.
- 诊断工具包括冠状动脉血管学,带有泡的横侧心声学和透食管心声学.
- 进行了 sinus venosus ASD 的手术纠正.
主要成果:
- 冠状动脉扫描显示出栓塞性心脏病发作.
- 心声扫描显示了右向左的分流和 sinus venosus ASD 与部分异常的肺静脉排水.
- 成功地手术修复了ASD.
结论:
- PDE是急性冠状动脉综合征的一个未被认可的机制.
- 在冠状动脉栓塞或密码性心肌梗塞的情况下,应调查心脏结构缺陷.
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