经食管超声心动图联合右心声学造影诊断卵圆孔未闭合并肺动静脉瘘二例

doi:10.3877/cma.j.issn.1672-6448.2019.04.015

中华医学超声杂志（电子版） ›› 2019, Vol. 16 ›› Issue (04) : 315 -316. doi: 10.3877/cma.j.issn.1672-6448.2019.04.015

所属专题：经典病例；文献；

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经食管超声心动图联合右心声学造影诊断卵圆孔未闭合并肺动静脉瘘二例

杜丽娟¹, 兰亭玉¹, 黄文燕¹, 何文¹^,^†(

), 王雨萌¹, 付强², 陈步星²

^1. 100050　首都医科大学附属北京天坛医院超声科
^2. 100050　首都医科大学附属北京天坛医院心内科

收稿日期:2018-08-16 出版日期:2019-04-01
通信作者: 何文

Transesophageal echocardiography combined with right heart contrast echocardiography for diagnosis of patent foramen ovale with pulmonary arteriovenous fistula: report of two cases

Lijuan Du¹, Tingyu Lan¹, Wenyan Huang¹

Received:2018-08-16 Published:2019-04-01

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杜丽娟, 兰亭玉, 黄文燕, 何文, 王雨萌, 付强, 陈步星. 经食管超声心动图联合右心声学造影诊断卵圆孔未闭合并肺动静脉瘘二例[J]. 中华医学超声杂志（电子版）, 2019, 16(04): 315-316.

Lijuan Du, Tingyu Lan, Wenyan Huang. Transesophageal echocardiography combined with right heart contrast echocardiography for diagnosis of patent foramen ovale with pulmonary arteriovenous fistula: report of two cases[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2019, 16(04): 315-316.

图2 患者，女性，44岁，卵圆孔未闭合并肺动静脉瘘。图a为右心声学造影瓦氏呼吸后4个心动周期内左心房内见微气泡；图b为卵圆孔未闭封堵术后半年复查右心声学造影4~5个心动周期后左心房内微气泡，来源于肺静脉方向；图c为肺CT血管造影证实肺动静脉瘘

1	Lechat P, Mas JL, Lascault G, et al. Prevalence of patent foramen ovale in patients with stroke [J]. N Engl J Med, 1988, 318(18): 1148-1152.
2	Mattle HP, Meier B, Nedeltchev K. Prevention of stroke in patients with patent foramen ovale [J]. Int J Stroke, 2010, 5(2): 92-102.
3	郑晓明, 张京芬. 卵圆孔未闭与缺血性卒中的临床研究[J]. 中国医师进修杂志, 2015, 38(12): 923-925.
4	朱永胜, 孟欣, 江文, 等. 中青年隐源性缺血性脑卒中与卵圆孔未闭的关系[J]. 中华超声影像学杂志, 2014, 23(7): 568-572.
5	Freeman JA, Woods TD. Use of saline contrast echo timing to distinguish intracardiac and extracardiac shunts: failure of the 3-to 5-beat rule [J]. Echocardiography, 2008, 25(10): 1127-1130.

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Transesophageal echocardiography combined with right heart contrast echocardiography for diagnosis of patent foramen ovale with pulmonary arteriovenous fistula: report of two cases