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患者女,32岁。入院查体无特殊,无明显心脏杂音。经胸超声心动图(TTE)示各房室大小正常,右冠状动脉增粗,内径8mm,开口于肺动脉主干内侧,左冠状动脉增粗,内径7mm,起源于主动脉左冠窦;彩色多普勒(CDFI)显示室间隔、右室游离壁、左室下壁等处探及较丰富血流信号,肺动脉内见一束蓝色舒张期血流信号,Vmax 1.68m/s;房、室水平及大血管水平未见确切分流;各瓣膜口两侧未见明显异常血流信号(图1)。经食管超声心动图(TEE)示:右冠状动脉增粗,开口于肺动脉主干内
Female patient, 32 years old. Admission examination no special examination, no obvious heart murmur. Transthoracic echocardiography (TTE) showed that the size of the atrioventricular compartment was normal and the right coronary artery was thicker with an inner diameter of 8mm. It was opened to the inside of the pulmonary artery trunk. The left coronary artery was thicker with an inner diameter of 7mm and originated from the left coronary sinus. (CDFI) showed ventricular septum, free wall of right ventricle, inferior wall of left ventricle, and more abundant blood flow signals. A blue diastolic blood flow signal was seen in the pulmonary artery with a Vmax of 1.68 m / s. Atrial and ventricular level And no significant diversion at the level of large vessels; no obvious abnormal blood flow signals were seen on either side of the valve orifice (Fig. 1). Trans-esophageal echocardiography (TEE) shows: right coronary thickening, opening in the trunk of the pulmonary artery