Grossi E A, Colvin S B, Galloway A C, Rutkowski M, Doyle E F, Crooke G A, Spencer F C
Department of Surgery, New York University Medical Center, NY 10016.
Ann Thorac Surg. 1991 Mar;51(3):484-7. doi: 10.1016/0003-4975(91)90875-q.
Left ventricular aneurysms and diverticula are rarely encountered in the pediatric age group. This paper reports a case of congestive heart failure and mitral regurgitation in a 6-year-old boy with a large posterolateral left ventricular aneurysm. Complete repair was successfully performed by excision of the aneurysm and Dacron patch reconstruction of the left ventricular free wall. The patch extended onto the posterior annulus of the mitral valve, thus restoring the mitral valve to normal geometry and correcting the mitral insufficiency. The surgical literature on congenital cardiac diverticula and acquired aneurysms in children is reviewed and summarized.
左心室动脉瘤和憩室在儿童年龄组中很少见。本文报告了一名6岁男孩患有巨大左心室后外侧动脉瘤并伴有充血性心力衰竭和二尖瓣反流的病例。通过切除动脉瘤和用涤纶补片重建左心室游离壁成功完成了完全修复。补片延伸至二尖瓣后瓣环，从而使二尖瓣恢复正常形态并纠正了二尖瓣关闭不全。本文对儿童先天性心脏憩室和后天性动脉瘤的外科文献进行了回顾和总结。
