左心耳先天性动脉瘤。

Congenital aneurysm of the left atrial appendage.

作者信息

Munárriz A, Escribano E, Urchaga A, Olaz F, Beunza M, de La Fuente A, Cantabrana S, Sola T

机构信息

Department of Cardiology, Hospital Reina Sofía, Carretera Tarazona sn, Tudela, Navarra, España.

出版信息

Eur J Echocardiogr. 2008 Jan;9(1):152-4. doi: 10.1016/j.euje.2007.05.002.

DOI:10.1016/j.euje.2007.05.002

PMID:17638596

Abstract

Congenital aneurysm of the left atrial appendage is quite infrequent. Most instances are asymptomatic. Patients can report a variety of symptoms, one of the most frequent being onset of auricular tachyarrhythmia. Various imaging techniques are useful in diagnosis and allow the differential diagnosis with other pathologies. We describe the case of a 24-year-old male with congenital aneurysm of the left atrial appendage. The patient presented with auricular fibrillation. Diagnosis was based on transthoracic and trans-esophageal echocardiography, and the patient was treated by surgical resection of the aneurysm under extracorporeal circulation.

摘要

左心耳先天性动脉瘤相当罕见。大多数病例无症状。患者可能会出现多种症状，最常见的症状之一是房性快速心律失常的发作。各种成像技术对诊断很有用，并有助于与其他病理情况进行鉴别诊断。我们描述了一名24岁男性左心耳先天性动脉瘤的病例。该患者表现为心房颤动。诊断基于经胸和经食管超声心动图，患者在体外循环下接受了动脉瘤手术切除治疗。