先天性矫正型大动脉转位合并冠状动脉起源异常1例

发布时间：2018-06-05 00:41

本文选题：心血管畸形 + 体层摄影术　；参考：《中国医学影像技术》2016年08期

【摘要】：正患者女,62岁。9年前无明显诱因出现心悸,数分钟后可自行缓解,于当地医院诊断为先天性心脏病,予以药物控制(具体不详);近2年多次出现双下肢水肿,伴咳嗽、咳痰,偶有夜间憋醒,大汗,于当地医院对症治疗后好转;1周前感冒后复发,自觉较前加重,后来我院就诊。体检:心率80次/分,心律不齐;双侧桡动脉搏动强弱不等,脉律不规则。实验室检查:血浆B型钠脲肽1 332pg/ml。心电图提示心房颤动。经胸超声心动图(图1A):(1)矫正型大动脉转位(SLL型);(2)二尖瓣轻度狭窄,前叶脱垂(轻-中度反流);(3)三尖瓣反流(中度);(4)功能左心
[Abstract]:The female patient was 62 years old. Nine years ago, there was no obvious cause of palpitations. After a few minutes, she was able to relieve herself. She was diagnosed as congenital heart disease in the local hospital and given drug control (details are unknown; in the last two years, there has been edema of both lower limbs, accompanied by cough, expectoration, etc.) Occasionally wake up at night, sweating, in the local hospital after the improvement after a week after a cold recurred, consciously worse than before, later our hospital. Physical examination: heart rate 80 beats / min, arrhythmia; bilateral radial artery pulsation, irregular pulse rhythm. Laboratory examination: plasma B-type natriuretic peptide 1332 PG / ml. Electrocardiogram indicates atrial fibrillation. Transthoracic echocardiography (fig. 1: 1) corrected transposition of great arteries (SLL) mitral stenosis, anterior lobe prolapse (mild-moderate regurgitation 3) tricuspid regurgitation (moderate mitral regurgitation)
【作者单位】：中国医科大学附属第一医院放射科;
【分类号】：R540.45;R541

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