经食管超声心动图和核磁共振成像诊断的心包内左心房动脉瘤

Intrapericardial left atrial aneurysm diagnosed by transoesophageal echocardiography and nuclear magnetic resonance imaging.

作者信息

Gullestad L, Fløgstad T, Nordstrand K, Smith G, Smith H, Frøysaker T, Simonsen S

机构信息

Department of Cardiology, Rikshopitalet University Hospital, Oslo, Norway.

出版信息

Eur Heart J. 1991 Feb;12(2):277-9. doi: 10.1093/oxfordjournals.eurheartj.a059881.

DOI:10.1093/oxfordjournals.eurheartj.a059881

PMID:2044565

Abstract

A case of intrapericardial left atrial aneurysm is described in a 38-year-old woman, who presented with invalidating paroxysmal atrial fibrillation. The diagnosis was suspected by 2D-echocardiography, and confirmed by transoesophageal echocardiography and magnetic resonance imaging. Chest X-ray, right and left ventricular and coronary angiography were normal. The aneurysm was surgically removed, and the patient has subsequently remained free from symptoms.

摘要

本文描述了一名38岁女性的心包内左心房动脉瘤病例，该患者表现为阵发性房颤，严重影响生活。二维超声心动图怀疑有此诊断，经食管超声心动图和磁共振成像得以确诊。胸部X光、左右心室及冠状动脉造影均正常。该动脉瘤通过手术切除，患者随后症状消失。