成人收缩期杂音：先天性心脏病的意外诊断

IF 1.6 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques Pub Date : 2025-04-07 DOI:10.1111/echo.70159

Alejandra Robles-Nava, Gabriela Melendez-Ramirez, Xochitl A. Ortiz-Leon, Rodriguez-Zanella Hugo, Jose A. Arias-Godinez, Edith L. Posada-Martinez, Maria E. Ruiz-Esparza, Jose R. Cruz-Mendoza, Juan F. Fritche-Salazar

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引用次数: 0

摘要

我们报告一例50岁男性患者呼吸短促和进行性水肿。超声心动图显示四个腔扩张，左心室功能障碍，肺动脉高压引起的收缩期优势血流动脉导管未闭（PDA）。心脏磁共振成像（MRI）证实PDA。由于肺动脉和主动脉循环之间的舒张压平衡，在PDA中发现的典型的连续心脏杂音消失了，因此这个病例特别有趣。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Adult Patient With Systolic Murmur: An Unexpected Diagnosis of Congenital Heart Disease

We present a case of a 50-year-old male patient with shortness of breath and progressive edema. Echocardiography demonstrated dilation of the four cavities, left ventricular dysfunction, and a patent arterial duct (PDA) with systolic predominant flow due to pulmonary hypertension. Cardiac magnetic resonance imaging (MRI) confirmed the PDA. This case is of particular interest since the typical continuous heart murmur found in PDA is lost due to equalization of the diastolic pressure between the pulmonary and aortic circulation.

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来源期刊

Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques 医学-心血管系统

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.