右侧隔袋血栓

Q4 Medicine

JACC. Case reports Pub Date : 2025-10-01 DOI:10.1016/j.jaccas.2025.105285

Ivy Ziqian Liu DO , Mohammad Alsheikh-Kassim MD , Jennifer K. Lang MD

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引用次数: 0

摘要

背景：右侧房间隔囊是一种罕见的解剖变异，临床意义尚不清楚。病例总结：我们提出了一个独特的病例，患者被发现有一个RSSP血栓后无脉电活动心脏骤停的初始发作，可能是由于巨大的双侧肺栓塞。关于房间隔囊的现有文献主要集中在左侧表现及其潜在的临床意义。记录的RSSP病例是有限的。sps是一种罕见的解剖变异，即使在没有传统血栓危险因素的情况下，也可能作为栓塞源。本病例强调了经食管超声心动图诊断的重要性，它可以识别常规经胸超声心动图或计算机断层扫描所遗漏的rssp。

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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Right-Sided Septal Pouch Thrombus

Background

Right-sided interatrial septal pouches (RSSPs) are an uncommon anatomical variant with unclear clinical significance.

Case Summary

We present a unique case of a patient who was found to have a RSSP thrombus following an initial episode of pulseless electrical activity cardiac arrest, likely due to massive bilateral pulmonary embolism.

Discussion

Existing literature on atrial septal pouches predominantly focuses on left-sided presentations and their potential clinical implications. Documented cases of RSSP are limited.

Take-Home Message

RSSPs are uncommon anatomical variants that may serve as embolic sources even in the absence of traditional thrombotic risk factors. This case underscores the diagnostic importance of transesophageal echocardiography which may identify RSSPs missed on routine transthoracic echocardiography or computed tomography.

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来源期刊