先天性左心室顶部动脉瘤

IF 6.7 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS European Heart Journal - Cardiovascular Imaging Pub Date : 2024-10-30 DOI:10.1093/ehjci/jeae167
Marisa Pereira, Ana Correia-Costa, João Rebelo, Ana Luísa Neves, João Antunes Sarmento
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引用次数: 0

摘要

一名 17 岁的男性在接受运动前体检后被转到小儿心脏病科进行评估,体检结果显示他的 12 导联心电图显示心室复极化异常(V3-V6 为负 T 波)。8 年来,他一直是一名足球运动员。他没有相关的个人或家族病史,也否认以前出现过任何心血管症状。他的心血管体检结果正常。在初步评估时,他接受了经胸超声心动图检查,结果显示左心室顶部动脉瘤伴区域性运动障碍,并伴有轻度二尖瓣返流。检查还显示左心室收缩功能总体保持正常,没有发现任何提示植物或心内血栓的图像。为了进一步确定解剖结构和心肌特征,患者接受了心脏磁共振(CMR)检查。结果显示左心室心尖动脉瘤宽大,以外侧为主,瘤壁薄,外囊内有脊,局部运动障碍。未发现晚期钆增强(LGE)区域,提示有纤维化、异常浸润或先前梗死留下的疤痕。在排除其他病因后,确定诊断为先天性心室动脉瘤。这是一种非常罕见的疾病(0.12%),临床表现多种多样,从良性心律失常到猝死不等。各种成像技术有助于其诊断,其中 CMR 对于排除炎症和心肌病、识别 LGE 以及评估左心室容量和功能尤为有用。目前还没有标准的治疗方法,手术干预的适应症也存在争议。如果采取保守治疗,则必须考虑采取旨在预防心内膜炎和栓塞的措施。
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Congenital apical left ventricular aneurysm.
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来源期刊
European Heart Journal - Cardiovascular Imaging
European Heart Journal - Cardiovascular Imaging CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
11.60
自引率
9.70%
发文量
708
审稿时长
4-8 weeks
期刊介绍: European Heart Journal – Cardiovascular Imaging is a monthly international peer reviewed journal dealing with Cardiovascular Imaging. It is an official publication of the European Association of Cardiovascular Imaging, a branch of the European Society of Cardiology. The journal aims to publish the highest quality material, both scientific and clinical from all areas of cardiovascular imaging including echocardiography, magnetic resonance, computed tomography, nuclear and invasive imaging. A range of article types will be considered, including original research, reviews, editorials, image focus, letters and recommendation papers from relevant groups of the European Society of Cardiology. In addition it provides a forum for the exchange of information on all aspects of cardiovascular imaging.
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