Guarino L, Baudouy M, Camous J P, Patouraux G, Varenne A, Guiran J B
Arch Mal Coeur Vaiss. 1979 Dec;72(12):1390-4.
During the hemodynamic evaluation of a young patient with heart failure whose electrocardiogram showed sequels of anterior necrosis, an aneurysm of the fossa ovalis was seen at cineangiography. Selective coronary angiography showed an interruption of filling of the anterior interventricular artery just distal to the branching of the first septal artery: it raised therefore the possibility of the embolic origin of that myocardial infarction. In connection with this case study, angiographic aspect, pathogenesis and the embolic role of the aneurysm of the fossa ovalis were discussed.
在对一名年轻心力衰竭患者进行血流动力学评估时,其心电图显示有前壁坏死的后遗症,心血管造影检查发现卵圆窝处有一个动脉瘤。选择性冠状动脉造影显示,在前室间动脉第一间隔动脉分支的远侧,其充盈中断:因此增加了该心肌梗死栓子来源的可能性。结合该病例研究,讨论了卵圆窝动脉瘤的血管造影表现、发病机制及栓子作用。