三尖瓣下移畸形合并房间隔缺损致儿童卒中1例报道 A Case of Childhood Stroke Caused by Ebstein’s Anomaly Combined with Atrial Septal Defect

Abstract

儿童卒中是临床常见的危急症，是儿童致残和死亡的主要原因之一，病因复杂多样，其中心源性卒中不容忽视。三尖瓣下移畸形是一种少见的先天性心脏病，主要累及三尖瓣和右心室，少数可合并房间隔缺损或卵圆孔未闭引起矛盾栓塞，导致心源性卒中发生。本文报道1例由三尖瓣下移畸形合并房间隔缺损引起儿童卒中的病例，超声心动图技术有助于该类疾病的明确诊断、严重度评估以及其他异常的识别。 Abstract: Childhood stroke is a common critical disease, and is one of the main causes of disability and death in children. Its etiology is complex and diverse, meanwhile, cardiogenic stroke cannot be ignored. Ebstein’s anomaly is a rare congenital heart disease, mainly involving the tricuspid valve and the right ventricle, and a few patients may combine with atrial septal defect or patent foramen ovale, which leads cardiogenic stroke because of paradoxical embolism. This paper reported a case of childhood stroke caused by Ebstein’s anomaly combined with atrial septal defect. Echocardiography techniques can help to clarify the diagnosis, assess severity and identify other abnormalities.

Keywords

• 儿童
• 卒中
• 三尖瓣下移畸形
• 房间隔缺损
• 心源性栓塞
• children
• stroke; ebstein’s anomaly
• atrial septal defect
• cardiogenic embolism