Sarubbi B, Gerlis L M, Ho S Y, Somerville J
Jane Somerville Grown-up Congenital Heart Unit, The Royal Brompton Hospital, London, UK.
Cardiol Young. 1999 Jan;9(1):99-103. doi: 10.1017/s1047951100007514.
An apparently healthy man of 26 years of age suddenly died. He was known to have had a small ventricular septal defect and complete right bundle branch block from early childhood. At post-mortem examination the small ventricular septal defect was found associated with an aneurysm of the membranous septum. Histological examination showed a normal atrioventricular node and bundle, adjacent to the aneurysm. There was fibrous interruption at the commencement of the right bundle branch, which was considered the basis of the bundle branch block. It was also considered that the right bundle branch block was of the hereditary type and that this, rather than the aneurysm of the membranous septum, was responsible for the unexpected death.
一名26岁看似健康的男子突然死亡。据悉，他自幼患有小型室间隔缺损和完全性右束支传导阻滞。尸检发现小型室间隔缺损与膜性间隔动脉瘤有关。组织学检查显示房室结和束正常，与动脉瘤相邻。右束支起始处有纤维性中断，这被认为是束支传导阻滞的基础。也有人认为右束支传导阻滞是遗传性的，而非膜性间隔动脉瘤导致了这一意外死亡。
