Wang Xing-Xiang, Song Ze-Zhou
Department of Cardiovascular Medicine, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, PR China.
Cardiovasc Ultrasound. 2009 Mar 9;7:11. doi: 10.1186/1476-7120-7-11.
A 24-year-old woman admitted with mild chest distress associated with activity without chest complaint for twenty days. Two orifices were visible at the level of the mitral valve with a transthoracic short-axis view of the two-dimensional and three-dimensional echocardiography. The left ventricle was mildly dilatated and the left ventricular wall was thickened, especially at the apex and anterolateral wall, and appeared sponge-like. There were numerous, excessively prominent trabeculations associated with intertrabecular recesses. Although the coexistence of NVM and DOMV could be a coincidence, we believe that both defects were probably caused by a developmental arrest of the left ventricular myocardium in the present case.
一名24岁女性因活动时伴有轻度胸部不适入院,无胸痛症状,持续20天。经胸二维和三维超声心动图二尖瓣水平可见两个开口。左心室轻度扩张,左心室壁增厚,尤其是心尖和前侧壁,呈海绵状。有许多过度突出的小梁及小梁间隐窝。虽然非致密型心肌病(NVM)和双孔二尖瓣(DOMV)并存可能是巧合,但我们认为在本病例中这两种缺陷可能都是由左心室心肌发育停滞引起的。