先天性左心室憩室合并冠状动脉疾病患者。

Congenital left ventricular diverticulum in a patient with coronary artery disease.

机构信息

Department of Medical Imaging, Chiayi Christian Hospital, Chiayi, Taiwan, R.O.C.

出版信息

J Chin Med Assoc. 2010 Aug;73(8):441-3. doi: 10.1016/S1726-4901(10)70095-2.

PMID:20728858

Abstract

Congenital ventricular diverticulum is rare. We present the case of a 76-year-old man who underwent cardiac multidetector computed tomography (MDCT) for recent intermittent chest pain. Obstructive single-vessel coronary artery disease was diagnosed. A left ventricular diverticulum of about 10 x 9 mm was found incidentally. Conventional angiography confirmed both diagnoses. Ventricular diverticulum may be more frequently found in the era of cardiac MDCT and should be differentiated from postinfarct (pseudo)-aneurysm.

摘要

先天性心室憩室较为罕见。我们报告 1 例 76 岁男性，因近期间歇性胸痛行心脏多层螺旋 CT（MDCT）检查。诊断为阻塞性单支冠状动脉疾病。偶然发现约 10 x 9 mm 的左心室憩室。常规血管造影证实了这两个诊断。在心脏 MDCT 时代，心室憩室可能更为常见，应与心肌梗死后（假性）动脉瘤相鉴别。