三尖瓣下移畸形合并房间隔缺损致儿童卒中1例报道  

A Case of Childhood Stroke Caused by Ebstein’s Anomaly Combined with Atrial Septal Defect

作　　者：周怡希 李永佳 兰亭玉 程令刚[1] 何文[1] 杜丽娟[1] ZHOU Yixi;LI Yongjia;LAN Tingyu;CHENG Linggang;HE Wen;DU Lijuan(Department of Ultrasound,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China)

机构地区：[1]首都医科大学附属北京天坛医院超声科,北京100070

出　　处：《中国卒中杂志》2023年第11期1303-1306,共4页Chinese Journal of Stroke

摘　　要：儿童卒中是临床常见的危急症,是儿童致残和死亡的主要原因之一,病因复杂多样,其中心源性卒中不容忽视。三尖瓣下移畸形是一种少见的先天性心脏病,主要累及三尖瓣和右心室,少数可合并房间隔缺损或卵圆孔未闭引起矛盾栓塞,导致心源性卒中发生。本文报道1例由三尖瓣下移畸形合并房间隔缺损引起儿童卒中的病例,超声心动图技术有助于该类疾病的明确诊断、严重度评估以及其他异常的识别。Childhood stroke is a common critical disease,and is one of the main causes of disability and death in children.Its etiology is complex and diverse,meanwhile,cardiogenic stroke cannot be ignored.Ebstein’s anomaly is a rare congenital heart disease,mainly involving the tricuspid valve and the right ventricle,and a few patients may combine with atrial septal defect or patent foramen ovale,which leads cardiogenic stroke because of paradoxical embolism.This paper reported a case of childhood stroke caused by Ebstein’s anomaly combined with atrial septal defect.Echocardiography techniques can help to clarify the diagnosis,assess severity and identify other abnormalities.

关 键 词：儿童 卒中 三尖瓣下移畸形 房间隔缺损 心源性栓塞 

分 类 号：R725.4[医药卫生—儿科] R743.3[医药卫生—临床医学]