Thadani U, Whitaker W, Watson D A
Thorax. 1975 Feb;30(1):102-9. doi: 10.1136/thx.30.1.102.
A patient with congenital intrapericardial aneurysm/diverticulum of the left atrium diagnosed preoperatively is described. A review of the 16 previously reported cases revealed that the majority of the patients present with palpitation and are found to have an abnormal cardiac shadow on chest radiography, as did this patient. The aneurysm appears to cause systemic emboli and paroxysmal or persistent atrial tachyarrhythmias which are often resistant to medical therapy. The presence of the aneurysm is suggested by an abnormal contour of the left cardiac border in the postero-anterior chest radiograph and this can be confirmed by angiocardiography. Surgical excision of the aneurysm is indicated in all patients to prevent the occurrence or recurrence of systemic emboli and atrial arrhythmias. Our patient has remained free of symptoms since her operation 14 months ago.
本文描述了一名术前诊断为先天性心包内左心房动脉瘤/憩室的患者。回顾之前报道的16例病例发现，大多数患者表现为心悸，胸部X线检查发现心脏阴影异常，该患者也是如此。动脉瘤似乎会导致全身性栓塞以及阵发性或持续性房性快速心律失常，这些情况通常对药物治疗有抵抗性。在后前位胸部X线片上，心脏左缘轮廓异常提示存在动脉瘤，这可通过心血管造影术得到证实。所有患者均需手术切除动脉瘤，以预防全身性栓塞和房性心律失常的发生或复发。我们的患者自14个月前手术以来一直没有症状。
