病例介绍:成功堵塞先天性左心室至冠状窦瘘。

IF 0.9 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Cardiology in the Young Pub Date : 2024-11-25 DOI:10.1017/S1047951124036072
Hojjat Mortezaeian, Avisa Tabib, Hamidreza Pouraliakbar, Amir Banazade Dardashty
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引用次数: 0

摘要

先天性左心室至冠状静脉窦瘘管异常罕见,仅有少数病例报告。这些瘘管可能是孤立的,也可能与其他先天性心脏病同时发生。在本病例报告中,我们描述了一名 18 个月大的男童,他被诊断为二尖瓣关闭不全和冠状动脉窦型房间隔缺损而就诊于本中心。超声心动图检查发现,他患有罕见的先天性左心室至冠状窦瘘。超声心动图检查确定了诊断。与最初的怀疑相反,二尖瓣反流和房间隔缺损并不存在。相反,超声心动图显示左心室至冠状窦瘘管伴有冠状窦扩张。CT 血管造影证实了这些发现。随后采用经导管方法成功堵塞了瘘管。术后一年的随访评估显示没有出现并发症,超声心动图也没有发现明显的分流迹象。
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Case presentation: successful occlusion of congenital left ventricle to coronary sinus fistula.

Congenital left ventricle to coronary sinus fistulas are exceptionally rare, and only a few case reports of this condition exist. These fistulas may isolated or occur in conjunction with other CHDs. In this case report, we describe an 18-month-old boy who presented to our centre with a diagnosis of mitral valve insufficiency and a coronary sinus-type atrial septal defect. Upon echocardiographic evaluation, he was found to have a rare congenital left ventricle to coronary sinus fistula. Echocardiographic examination established the diagnosis. Contrary to initial suspicions, mitral regurgitation and atrial septal defect were not present. Instead, the echocardiogram revealed a left ventricular to coronary sinus fistula accompanied by dilation of the coronary sinus. These findings were corroborated by CT angiography. The fistula was then successfully occluded using a transcatheter method. Follow-up assessments at one-year post-procedure showed no complications and no evidence of significant shunting on echocardiography.

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来源期刊
Cardiology in the Young
Cardiology in the Young 医学-小儿科
CiteScore
1.70
自引率
10.00%
发文量
715
审稿时长
4-8 weeks
期刊介绍: Cardiology in the Young is devoted to cardiovascular issues affecting the young, and the older patient suffering the sequels of congenital heart disease, or other cardiac diseases acquired in childhood. The journal serves the interests of all professionals concerned with these topics. By design, the journal is international and multidisciplinary in its approach, and members of the editorial board take an active role in the its mission, helping to make it the essential journal in paediatric cardiology. All aspects of paediatric cardiology are covered within the journal. The content includes original articles, brief reports, editorials, reviews, and papers devoted to continuing professional development.
期刊最新文献
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