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Clin Cardiol. 2011 Apr;34(4):226-32. doi: 10.1002/clc.20875. Epub 2011 Feb 11.
3
Diverticular and aneurysmal structures of the left ventricle in adults: report of a case within the context of a literature review.成人左心室憩室和动脉瘤样结构：文献综述背景下的病例报告
Tex Heart Inst J. 2010;37(6):699-705.
4
Prevalence and outcome of congenital left ventricular aneurysms and diverticula in an adult population.成年人群中先天性左心室动脉瘤和憩室的患病率及转归
Cardiology. 2009;112(4):287-93. doi: 10.1159/000159122. Epub 2008 Oct 2.
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Discordance of diagnosis of ventricular aneurysm made by the electrocardiogram and myocardial imaging: "ST-segment counterpoise" as a hypothetical mechanism.心电图与心肌成像对室壁瘤诊断的不一致性：“ST段平衡”作为一种假设机制
J Electrocardiol. 2006 Jul;39(3):340-1. doi: 10.1016/j.jelectrocard.2006.02.009.
6
Congenital left ventricular aneurysms and diverticula: definition, pathophysiology, clinical relevance and treatment.先天性左心室动脉瘤和憩室：定义、病理生理学、临床相关性及治疗
Cardiology. 2006;106(2):63-72. doi: 10.1159/000092634. Epub 2006 Apr 12.
7
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Peripheral arterial embolism due to a left ventricular diverticulum in a young adult.一名年轻成年人因左心室憩室导致外周动脉栓塞。
Chest. 2005 Apr;127(4):1452-4. doi: 10.1378/chest.127.4.1452.
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Asymptomatic isolated congenital left ventricular muscular diverticulum in an adult: a case report.成人无症状孤立性先天性左心室肌性憩室：一例报告
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伴有左心室副腔的冠状动脉异常：是左心室室壁瘤还是憩室？

Coronary anomaly with a left ventricular accessory chamber: Is it left ventricular aneurysm or diverticulum?

作者信息

Panduranga Prashanth, Al-Riyami Abdullah Amour

机构信息

Department of Cardiology, Royal Hospital, Muscat, Oman.

出版信息

J Saudi Heart Assoc. 2012 Jul;24(3):191-4. doi: 10.1016/j.jsha.2012.02.008. Epub 2012 Feb 22.

DOI:10.1016/j.jsha.2012.02.008
PMID:23960694
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3727445/
Abstract

A 60-year-old male hypertensive was suspected to have post myocardial infarction left ventricular aneurysm. His transthoracic echocardiogram performed elsewhere reported an inferior wall left ventricular aneurysm. He was referred for coronary angiography. His coronary angiogram and repeat transthoracic echocardiogram demonstrated an accessory chamber arising from mid-inferior wall synchronously contracting with the left ventricle suggesting a diverticulum. In addition, he had anomalous coronary arteries with coronary artery disease. His electrocardiogram did not reveal any features suggestive of a post infarct aneurysm. This case illustrates the importance of a comprehensive clinical and echocardiographic examination with a broad differential thought process.

摘要

一名60岁男性高血压患者被怀疑患有心肌梗死后左心室动脉瘤。他在其他地方进行的经胸超声心动图报告显示为下壁左心室动脉瘤。他被转诊进行冠状动脉造影。他的冠状动脉造影和重复经胸超声心动图显示，一个副腔从下壁中部发出，与左心室同步收缩，提示为憩室。此外，他还患有冠状动脉异常合并冠状动脉疾病。他的心电图未显示任何提示梗死后期动脉瘤的特征。该病例说明了全面的临床和超声心动图检查以及广泛的鉴别诊断思维过程的重要性。