先天性左心耳心包内动脉瘤。

Congenital intrapericardial aneurysm of the left-atrial appendage.

作者信息

Ganeshakrishnan K I, Khandeparkar J M, Natrajan V M, Agrawal N B, Oswal D H, Magotra R A

机构信息

Department of Cardiovascular and Thoracic Surgery, K.E.M. Hospital, Bombay, India.

出版信息

Thorac Cardiovasc Surg. 1992 Dec;40(6):382-4. doi: 10.1055/s-2007-1020185.

DOI:10.1055/s-2007-1020185

PMID:1290187

Abstract

An interesting case of congenital intrapericardial aneurysm of the left-atrial appendage is reported. The patient presented with recurrent supraventricular arrhythmias and progressive exercise intolerance and fatigue. Computerised axial tomography aided in the diagnosis by excluding the presence of any thrombus in the sac. The aneurysm could be safely excised via a left thoracotomy without cardiopulmonary bypass. The relevant literature on this problem is briefly discussed.

摘要

报告了一例有趣的先天性左心耳心包内动脉瘤病例。患者表现为反复发作的室上性心律失常、进行性运动不耐受和疲劳。计算机断层扫描通过排除囊内存在任何血栓辅助诊断。该动脉瘤可通过左胸切开术在无体外循环的情况下安全切除。简要讨论了关于这个问题的相关文献。