以三尖瓣下移畸形为主的复杂先心病合并脑梗死1例  

A case of complex congenital heart disease dominated by Ebstein's anomaly complicated with cerebral infarction

作　　者：赵美美 翟红燕 周贵明[1] ZHAO Meimei;ZHAI Hongyan;ZHOU Guiming(Ultrasound Department,Tianjin Medical University General Hospital,Tianjin 300052,China)

机构地区：[1]天津医科大学总医院超声科,天津300052

出　　处：《临床医学研究与实践》2024年第15期17-20,共4页Clinical Research and Practice

摘　　要：三尖瓣下移畸形是一种罕见复杂的先心病,常累及三尖瓣及右心室,可合并其他心内畸形。当合并房间隔缺损时,可引起反常性脑栓塞。本文报道1例59岁女性患者,因脑梗死症状就诊而首次诊断为复杂先心病(三尖瓣下移畸形合并房间隔缺损、室间隔缺损并膜部瘤)。临床上引起脑梗死的原因很多,筛查病因尤为重要。本文通过回顾患者的诊疗经过和相关文献,旨在提高临床医师对三尖瓣下移畸形的认识,有助于医师制定防治策略,改善患者预后。Ebstein's anomaly is a rare complex congenital heart disease,often involves tricuspid valve and right ventricle,probably combines with other intracardiac deformities.Combining with atrial septal defect can lead to paradoxical embolism.This paper reports a 59 year-old female,who was first diagnosed as complex congenital heart disease(Ebstein's anomaly complicated with atrial septal defect,ventricular septal defect and membranous ventricular septal aneurysm)due to symptoms of cerebral infarction.There are many causes of cerebral infarction in clinic,and screening the causes is important.This article reviews the diagnosis and treatment process of patients and relevant literature,aiming to improve the understanding of Ebstein′s anomaly among clinical physicians,help physicians formulate prevention and treatment strategies,and improve patients'prognosis.

关 键 词：三尖瓣下移畸形 复杂先心病 脑梗死 

分 类 号：R743[医药卫生—神经病学与精神病学]