一例通过术前对比增强计算机断层扫描确诊的老年患者部分冠状动脉窦房隔缺损的手术病例

IF 1.2 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

International heart journal Pub Date : 2024-01-31 DOI:10.1536/ihj.23-401

Norihisa Yuge, Susumu Manabe, Daiki Hirayama, Ryuki Yamada, Mariko Hori, Tomohiro Saito, Nobuhiro Mochizuki, Koichiro Sugimura, Hiroaki Shimokawa

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引用次数: 0

摘要

无顶冠状窦综合征是一种罕见的先天性心脏畸形，涉及一些解剖变异。大约 60% 的冠状窦未开窗综合征患者同时伴有房间隔缺损，即冠状窦未开窗房间隔缺损（CSASD）。传统的超声心动图通常很难精确检测出这些异常，这主要是由于其结构小而复杂。在此，我们报告了一例冠状窦房间隔缺损无顶的病例，术前对比增强计算机断层扫描（CT）有助于手术决策。我们用牛补片成功修复了冠状窦缺损的顶部，同时消除了房室间分流。患者术后恢复顺利，没有残留分流。

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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A Surgical Case of Partially Unroofed Coronary Sinus Atrial Septal Defect in an Elderly Patient Diagnosed by Preoperative Contrast-Enhanced Computed Tomography

Unroofed coronary sinus syndrome is a rare congenital cardiac anomaly, involving some anatomical variations. Approximately 60% of patients with unroofed coronary sinus syndrome have a concomitant atrial septal defect, which is termed unroofed coronary sinus atrial septal defect (CSASD). The precise detection of these abnormalities has been usually difficult with conventional echocardiography, mostly due to its small and complex structures. Herein, we report a case with unroofed coronary sinus atrial septal defect, in which preoperative contrast-enhanced computed tomography (CT) was useful in the operative decision making. We successfully repaired the defective roof of the coronary sinus with a bovine patch, while eliminating the inter-atrial shunt. The patient's postoperative course was uneventful with no residual shunt.

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来源期刊

International heart journal 医学-心血管系统

CiteScore

2.50

自引率

6.70%

发文量

148

审稿时长

6-12 weeks

期刊介绍： Authors of research articles should disclose at the time of submission any financial arrangement they may have with a company whose product figures prominently in the submitted manuscript or with a company making a competing product. Such information will be held in confidence while the paper is under review and will not influence the editorial decision, but if the article is accepted for publication, the editors will usually discuss with the authors the manner in which such information is to be communicated to the reader.