左心室室壁瘤：利用心血管磁共振对形态、结构及血栓进行综合评估
Left ventricular aneurysm: comprehensive assessment of morphology, structure and thrombus using cardiovascular magnetic resonance.
作者信息
Heatlie G J, Mohiaddin R
机构信息
Cardiovascular MR Unit, Royal Brompton Hospital, London, UK.
出版信息
Clin Radiol. 2005 Jun;60(6):687-92. doi: 10.1016/j.crad.2005.01.007.
AIM
To demonstrate that cardiac magnetic resonance (CMR) techniques provide unique and definitive information on the presence, location, size and nature of left ventricular aneurysm and pseudoaneurysm, the presence of thrombus and the viability of myocardium.
METHOD
A retrospective study of 27 patients with a final diagnosis of left ventricular aneurysm or pseudoaneurysm, who underwent CMR at a tertiary referral centre in the period between 2000 and 2003.
RESULTS
In 7 cases the correct diagnosis of true aneurysm was confirmed; in 7 cases previously unsuspected thrombus was identified; in 7 cases an unsuspected pseudoaneurysm was identified; and in a further 6 cases a previously unsuspected aneurysm was identified.
CONCLUSION
CMR refined the diagnosis in the majority of patients with left ventricular aneurysm, and should be considered in all cases of confirmed or suspected left ventricular aneurysm.
目的
证明心脏磁共振成像（CMR）技术能提供关于左心室室壁瘤和假性室壁瘤的存在、位置、大小及性质、血栓的存在情况以及心肌存活性的独特且明确的信息。
方法
对27例最终诊断为左心室室壁瘤或假性室壁瘤的患者进行回顾性研究，这些患者于2000年至2003年期间在一家三级转诊中心接受了CMR检查。
结果
7例确诊为真性室壁瘤；7例发现了之前未被怀疑的血栓；7例发现了之前未被怀疑的假性室壁瘤；另有6例发现了之前未被怀疑的室壁瘤。
结论
CMR改善了大多数左心室室壁瘤患者的诊断，对于所有确诊或疑似左心室室壁瘤的病例均应考虑使用CMR。
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