Langenfeld H, Meesmann M, Schanzenbächer P
Medizinische Universitätsklinik, Würzburg.
Dtsch Med Wochenschr. 1990 Apr 20;115(16):622-5. doi: 10.1055/s-2008-1065056.
In a 50-year-old patient with complex ventricular arrhythmia (monotopic ventricular extrasystoles in bigeminy and triplet form), coronary angiography with ventriculography revealed an aneurysm of about 2-3 cm diameter that bulged visibly into the right ventricle during the systole. Electrophysiology was able to localise the earliest excitation during the ventricular extrasystoles at the septal border of the aneurysm. Hence, the congenital aneurysm was definitely identified as the source of the arrhythmia. Surgery or drug therapy were not indicated since there was no haemodynamically effective ventricular tachycardia in the patient who was largely free from complaints.
在一名50岁患有复杂性室性心律失常（二联律和三联律形式的单形性室性早搏）的患者中，冠状动脉造影及心室造影显示一个直径约2 - 3厘米的动脉瘤，在收缩期明显凸入右心室。电生理学能够将室性早搏期间最早的激动定位在动脉瘤的间隔边界处。因此，先天性动脉瘤被明确确定为心律失常的源头。由于该患者无明显血流动力学效应的室性心动过速且基本无不适主诉，故未建议进行手术或药物治疗。
