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成人孤立性左心室先天性憩室:心脏影像学报告

[Isolated left ventricular congenital diverticulum in adult: Report of cardiac imaging].

作者信息

Bennis K, Tamdy A, Charif D'ouazzane M, Assaidi A, Doghmi N, Allouch M, Noureddine M, Cherti M, Bennis A

机构信息

Service de cardiologie, CHU IBN Rochd, Casablanca, Maroc.

Service de cardiologie B, maternité Suissi, CHU IBN Sinaa, Rabat, Maroc.

出版信息

Ann Cardiol Angeiol (Paris). 2014 Feb;63(1):58-61. doi: 10.1016/j.ancard.2011.07.012. Epub 2011 Sep 21.

Abstract

Cardiac diverticulum is an infrequent congenital malformation, it's even more rare in adulthood. It's often associated with other thoraco-abdominal diverticulums, and rarely isolated. The diagnosis relies on echocardiography. By the way, the magnetic resonance imagery (MRI) allows a finer analysis of the diverticulum, its topography and its situation contributed to vascular and cardiac structures, it has largely replaced the ventriculography. We report in this article the case of a patient of 36 years whose diagnosis of the diverticulum was made by transthoracic echocardiography (TTE) at the time of an assessment of dyspnea, this exam also objectified a mitral insufficiency by deformation and dilatation of the mitral annulus. Radiological assessment was completed by a transoesophageal echocardiography (TOE) and magnetic resonance imagery (MRI). Surgical treatment consisted of surgical closing of the diverticulum and mitral annuloplasty.

摘要

心脏憩室是一种罕见的先天性畸形,在成年人中更为罕见。它常与其他胸腹部憩室相关,很少单独出现。诊断依靠超声心动图。顺便说一下,磁共振成像(MRI)能更精细地分析憩室、其位置以及它与血管和心脏结构的关系,它已在很大程度上取代了心室造影。我们在本文中报告一例36岁患者的病例,该患者在因呼吸困难接受评估时通过经胸超声心动图(TTE)诊断出憩室,该检查还发现二尖瓣环变形和扩张导致二尖瓣关闭不全。通过经食管超声心动图(TOE)和磁共振成像(MRI)完成了影像学评估。手术治疗包括手术封闭憩室和二尖瓣环成形术。

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