超声心动图在三房心合并主动脉瓣二叶诊治中的应用  

Cor triatriatum complicated with bicuspid aortic valve: a case report with literature review

作　　者：陈爱灼[1] 陈金清[2] CHEN Aizhuo;CHEN Jinqing(Department of Ultrasound,Affiliated Hospital of Putian University,Putian 351100,China;Department of Cardiothoracic Surgery,Affiliated Hospital of Putian University,Putian 351100,China)

机构地区：[1]福建莆田学院附属医院超声科,福建莆田351100 [2]福建莆田学院附属医院胸心外科,福建莆田351100

出　　处：《分子影像学杂志》2019年第4期480-481,共2页Journal of Molecular Imaging

摘　　要：目的探讨超声心动图在三房心或合并其它心血管异常诊断中的应用价值。方法回顾性分析1例三房心合并主动脉瓣二叶患者的病例资料并结合相关文献分析。结果患者高考前体检,超声提示左房内隔膜样回声将左房分隔成二腔形成左房三房心;另外主动脉瓣左、右冠瓣间融合嵴形成,瓣叶呈功能型二叶。结论三房心的隔膜上通常存在交通口,无血流动力学意义者多无症状,可以不需要治疗;交通口小或无交通口者通常需要外科干预矫正。超声心动图是三房心影像诊断中最简便的有力工具。Objective To explore the application valve of echocardiography in the diagnosis of cor triatriatum(or complicated with other cardiovascular abnormalities).Methods The data of a case of cor triatriatum complicated with bicuspid aortic valve were retrospectively analyzed.The related literatures were analyzed.Results During the physical examination berore the college entrance examination,ultrasound showed a membrane that divided the left atrium into two chambers to form cor triatriatum.In addition,bicuspid aortic valve with right-left cusp fusion was found.Conclusion There is usually a perforation on the septum of the atria,and those without hemodynamic significance are mostly asymptomatic.It may not need treatment.Patients with small or no access on the septum usually need surgical intervention to correct.Echocardiography is the simplest and most powerful tool in the diagnosis of cor triatriatum.

关 键 词：三房心 主动脉瓣二叶 超声心动图 

分 类 号：R54[医药卫生—心血管疾病]