DiBardino Daniel J, Aggarwal Avichal, Knudson Jarrod D
1 Department of Surgery, Division of Pediatric and Congenital Heart Surgery, University of Mississippi Medical Center, Jackson, Mississippi, United States of America.
2 Division of Pediatric Cardiology Children's Heart Center, University of Mississippi Medical Center, Jackson, Mississippi, United States of America.
Cardiol Young. 2014 Jun;24(3):555-8. doi: 10.1017/S1047951113000887. Epub 2013 Aug 15.
Left atrial appendage aneurysm is an extremely rare anomaly and as such has been rarely imaged or seen intraoperatively with very little accumulated management experience. The available scant published literature stresses resection on cardiopulmonary bypass as the safest and by far the most commonly applied technique. We suggest a novel alternative imaging-guided management utilising an off-pump tourniquet snare technique under live transoesophageal echocardiography.
左心耳动脉瘤是一种极其罕见的异常情况，因此很少有影像学表现或在术中被发现，积累的治疗经验也非常少。现有的少量已发表文献强调在体外循环下进行切除是最安全且迄今为止最常用的技术。我们建议采用一种新颖的替代方法，即在实时经食管超声心动图引导下，使用非体外循环止血带圈套技术进行治疗。
