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心脏磁共振诊断右旋心合并矫正型大动脉转位、心房颤动1例

发布时间:2018-12-13 02:31
【摘要】:正患者男,42岁。7年前活动后心悸、胸闷。查体:心尖搏动位于右锁骨中线第5肋间,心界扩大。ECG示:心房颤动;大部分导联T波双向。前脑利尿钠肽1083.36pg/ml。心脏MRI:检查中心律不齐,心房颤动;腹腔脏器位置正常。心脏右移,心尖指向右下。心房正位,心室左襻(图1A);主动脉位于左前方、肺动脉位于右后方,两者为平行关系(图1B)。心内连接:左心房-解剖右心室-主动脉;右心房-解剖左心室-肺主动脉。左心房(前后径
[Abstract]:Male patient, 42 years old. 7 years ago after exercise palpitations, chest tightness. Body examination: apical pulsation was located in the fifth intercostal area of the middle line of the right clavicle. ECG showed atrial fibrillation and bidirectional T wave in most leads. Forebrain diuretic peptide 1083.36 PG / ml. Arrhythmia, atrial fibrillation and normal position of abdominal organs in cardiac MRI: examination. The heart moves to the right and the apex points to the lower right. Atrial position, left ventricular loop (Fig. 1A), aorta at left anterior, pulmonary artery at right posterior, parallel relationship between them (Fig. 1B). Intracardiac connection: left Atrial-Anatomy of right Ventricular-aorta; right Atrial-Anatomy of left Ventricular-Pulmonary aorta. Left atrium
【作者单位】: 郑州大学第一附属医院磁共振科;
【分类号】:R445.2;R541

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