Let's put the clues together and find the aetiology in this patient with dilated right heart!

IF 1.6 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Duygu Inan MD, Omer Abdel Hadi MD, Ufuk Yildiz MD, Serap Bas MD, Alev Kılıcgedik MD
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引用次数: 0

Abstract

A 39-year-old woman with intermittent palpitations, psoriasis, and a family history of sudden death presented with dilated right heart chambers and an enlarged coronary sinus. Despite a normal bubble study, further evaluation with transesophageal echocardiography revealed an abnormal pulmonary venous return: the left pulmonary veins drained into the coronary sinus. Cardiac computed tomography confirmed this finding, suggesting a partial abnormal pulmonary venous return as the underlying issue. Cardiac catheterization indicated increased pulmonary artery flow with normal pulmonary vascular resistance. The patient was referred for surgery. In this pathway involving the differential diagnosis of right heart dilatation, despite a confusing history and conflicting findings, echocardiographic clues led to the diagnosis.

让我们把这些线索结合起来,找出这位右心扩张患者的病因!
一名 39 岁的女性患者有间歇性心悸、牛皮癣和猝死家族史,并伴有右心腔扩张和冠状窦扩大。尽管气泡检查结果正常,但经食道超声心动图进一步评估发现肺静脉回流异常:左肺静脉向冠状窦排水。心脏计算机断层扫描证实了这一发现,表明肺静脉回流部分异常是根本问题。心导管检查显示肺动脉流量增加,肺血管阻力正常。患者被转诊接受手术治疗。在这一涉及右心扩张鉴别诊断的病例中,尽管病史混乱、检查结果相互矛盾,但超声心动图的线索还是为诊断提供了依据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.40
自引率
6.70%
发文量
211
审稿时长
3-6 weeks
期刊介绍: Echocardiography: A Journal of Cardiovascular Ultrasound and Allied Techniques is the official publication of the International Society of Cardiovascular Ultrasound. Widely recognized for its comprehensive peer-reviewed articles, case studies, original research, and reviews by international authors. Echocardiography keeps its readership of echocardiographers, ultrasound specialists, and cardiologists well informed of the latest developments in the field.
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