房间隔缺损合并缩窄性心包炎——一个诊断难题

F. Edwin, M. Tettey, L. Sereboe, E. Aniteye, M. Tamatey, K. Entsua-Mensah, D. Kotei, K. Frimpong-Boateng
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引用次数: 1

摘要

房间隔缺损和慢性缩窄性心包炎的合并是非常罕见的,并提出诊断挑战,因为一个往往掩盖了另一个的临床特征。我们报告这样一个病例,其中最初的诊断被怀疑是慢性缩窄性心包炎。经胸超声心动图诊断为继发性房间隔缺损。术中做出完整的诊断,手术解除了患者的两种病理。
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Atrial Septal Defect Coexisting With Constrictive Pericarditis - A Diagnostic Conundrum
The combination atrial septal defect and chronic constrictive pericarditis is very rare and poses diagnostic challenges because one tends to mask the clinical features of the other. We report such a case in which the initial diagnosis was suspected to be chronic constrictive pericarditis. This diagnosis was later changed to secundum atrial septal defect after transthoracic echocardiography. The complete diagnosis was made intra-operatively and the patient was relieved of both pathologies surgically.
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