LEFT-VENTRICULAR TO RIGHT ATRIAL SEPTAL-DEFECT SECONDARY TO BLUNT THORACIC TRAUMA DIAGNOSED BY TRANSESOPHAGEAL ECHOCARDIOGRAPHY

被引：2
|
作者：
WILSON, VE [1 ]
KIRSCH, MM [1 ]
STARKEY, TD [1 ]
ARMSTRONG, WF [1 ]
机构：
[1] UNIV MICHIGAN,SCH MED,DEPT INTERNAL MED,DIV CARDIOL,ANN ARBOR,MI 48104
来源：
ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES | 1991年 / 8卷 / 03期
关键词：
ATRIOVENTRICULAR SEPTAL DEFECT; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; TRAUMA;
D O I：
10.1111/j.1540-8175.1991.tb01201.x
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A case report is presented of a 58-year-old man who developed a new holosystolic murmur 4 months after a high-speed motor vehicle accident. Cardiac catheterization demonstrated a left-to-right shunt at the right atrial level. Intraoperative transesophageal echocardiography (TEE) identified and localized a discrete atrioventricular septal defect associated with a shunt from the left ventricle to the right atrium without tricuspid regurgitation, findings that were confirmed after surgical exploration. TEE is recommended for patients with a heart murmur and a history of blunt cardiac trauma, may permit early diagnosis, and may allow surgical repair in selected patients without pre-operative catheterization.
引用
收藏
页码：363 / 366
页数：4
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