五腔心或巨大心房附件动脉瘤：两例报告。

Five chambered heart or large atrial appendage aneurysm: A report of two cases.

作者信息

Mirmohammadsadeghi Mohsen, Kiani Yalda, Nasr Ali, Zavvar Reihaneh, Behjati Mohaddeseh, Rabbani Majid, Majidi Elham, Mirmohammadsadeghi Poya

机构信息

Department of Cardiovascular Surgery, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

ARYA Atheroscler. 2013 May;9(3):213-5.

PMID:23766780

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3681275/

Abstract

BACKGROUND

Isolated intrapericardial LAA aneurysm is a rare cardiac anomaly which manifests with angina, dyspnea on exertion (DOE), systemic embolization, arrhythmia, and congestive heart failure.

CASE REPORT

A 30-year-old female and a 46-year-old male were referred for evaluation of abnormal cardiac contour on chest radiograph and echocardiographic findings and non-specific symptoms. Transesophageal echocardiography suggested left atrial appendage (LAA) mass filled with clots. The mass had no compression on cardiac chambers and global ejection fraction was within normal limits. The intraoperative diagnosis was isolated congenital LAA aneurysm. After confirmation of the diagnosis, it was resected. She was discharged with uneventful postoperative course. At follow-up she was asymptomatic.

CONCLUSION

These cases demonstrate the role of on-time surgical approaches in the prevention of fatal complication of this rare cardiac anomaly.

摘要

背景

孤立性心包内左心耳动脉瘤是一种罕见的心脏异常，表现为心绞痛、劳力性呼吸困难、全身栓塞、心律失常和充血性心力衰竭。

病例报告

一名30岁女性和一名46岁男性因胸部X线片上心脏轮廓异常、超声心动图检查结果及非特异性症状而前来评估。经食管超声心动图提示左心耳（LAA）内有充满血栓的肿块。该肿块未对心腔造成压迫，整体射血分数在正常范围内。术中诊断为孤立性先天性LAA动脉瘤。确诊后，将其切除。她术后恢复顺利，出院时情况良好。随访时她无症状。