Traumatic right atrial pseudoaneurysm
Traumatic right atrial pseudoaneurysm
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DOI：
10.3978/j.issn.2223-3652.2015.01.04
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发表时间：
2015-04-01
影响因子：
2.4
通讯作者：
Steigner, Michael L.
中科院分区：
文献类型：
--
作者：
Nagpal, Prashant;Saboo, Sachin S.;Steigner, Michael L.
假性动脉瘤是指由于血管壁破裂而形成的血液聚集。它们具有较高的破裂风险，因此通常进行积极管理。创伤、感染和既往手术是大多数部位假性动脉瘤最常见的病因。创伤性心脏假性动脉瘤是罕见的，并提出了一个诊断的挑战，治疗医生，因为没有特定的症状与假性动脉瘤和心电图;心肌酶和超声心动图可能是不显示或不确定的，在许多情况下。在高度怀疑的情况下进行横断面成像[计算机断层扫描（CT）和磁共振成像（MRI）]，是诊断心脏假性动脉瘤的标准方法。我们提出了一个保守治疗的创伤后右心房假性动脉瘤的情况下，旨在强调心电图（ECG）门控多探测器计算机断层扫描（MDCT）在诊断和随访这种罕见的实体，最终经历了快速部分血栓形成的作用。
Pseudoaneurysm is defined as contained blood pooling due to rupture of vascular wall. They have higher risk of rupture and hence are usually managed aggressively. Trauma, infection and prior surgery are the most common etiologies for pseudoaneurysm of most sites. Traumatic cardiac pseudoaneurysm are rare and poses a diagnostic challenge to the treating physician since there is no specific symptoms associated with pseudoaneurysm and electrocardiogram; cardiac enzymes and echocardiogram may be unrevealing or inconclusive in many cases. Cross-sectional imaging [computed tomography (CT) and magnetic resonance imaging (MRI)] is done in cases with high index of suspicion and is the standard modality for diagnosis for cardiac pseudoaneurysm. We present a case of conservatively managed post-traumatic right atrial pseudoaneurysm with aim to highlight the role of electrocardiography (ECG)-gated multidetector computed tomography (MDCT) in diagnosis and follow-up of this rare entity that ultimately underwent rapid partial thrombosis.