经食管超声心动图诊断肥厚型心肌病Morrow术后迟发性室间隔穿孔一例

doi:10.3877/cma.j.issn.1672-6448.2025.02.016

中华医学超声杂志（电子版） ›› 2025, Vol. 22 ›› Issue (02) : 188 -190. doi: 10.3877/cma.j.issn.1672-6448.2025.02.016

病例报告

经食管超声心动图诊断肥厚型心肌病Morrow术后迟发性室间隔穿孔一例

熊莉¹, 王斌¹^,^†(

)

^1. 430071 武汉大学中南医院心血管超声科

收稿日期:2024-11-01 出版日期:2025-02-01
通信作者: 王斌

Transesophageal echocardiographic diagnosis of delayed ventricular septal perforation after Morrow septal myectomy for hypertrophic cardiomyopathy：a case report

Li Xiong, Bin Wang^†()

Received:2024-11-01 Published:2025-02-01
Corresponding author: Bin Wang

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图1 肥厚型心肌病Morrow 术及室间隔修补术前后室间隔的超声及手术图像。图a 为Morrow 术前左心声学造影下室壁厚度；图b 为Morrow 术后即刻经食管超声心动图显示后室间隔厚度（箭头所示）；图c 为经食管超声心动图显示后室间隔穿孔部位（箭头所示）；图d 为手术视野下后室间隔穿孔部位（圆圈所示）；图e 为室间隔修补术后即刻经食管超声心动图显示未见明显分流

图2 肥厚型心肌病Morrow 术前后及室间隔穿孔后心电图表现。图a 为Morrow 术前心电图显示部分导联ST-T 倒置，间壁异常Q 波；图b 为Morrow 术后心电图显示Ⅰ度房室传导阻滞，非特异性室内传导阻滞；图c 为室间隔穿孔后心电图显示室上性心动过速、室内传导阻滞、间壁异常Q 波、部分导联ST 段改变，完全性左束支传导阻滞

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