与心房颤动相关的双侧心耳动脉瘤

Bilateral atrial appendage aneurysms associated with atrial fibrillation.

作者信息

Nakahara Takahiro, Minakata Kenji, Yamazaki Kazuhiro, Funamoto Masaki, Sakata Ryuzo

机构信息

Department of Cardiovascular Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.

出版信息

Asian Cardiovasc Thorac Ann. 2014 Mar;22(3):347-9. doi: 10.1177/0218492312472513. Epub 2013 Jul 16.

DOI:10.1177/0218492312472513

PMID:24585916

Abstract

Aneurysm of the left atrial appendage is an extremely rare anomaly. We describe the case of a 68-year-old man who presented with palpitation and was found to have a very large aneurysm located near the left atrial appendage on routine echocardiography. During surgery, an additional small aneurysm of the right atrial appendage was found. Both atrial aneurysms were resected in addition to mitral annuloplasty and a maze procedure.

摘要

左心耳动脉瘤是一种极其罕见的异常情况。我们描述了一例68岁男性患者，该患者因心悸就诊，经常规超声心动图检查发现左心耳附近有一个非常大的动脉瘤。手术过程中，还发现了右心耳的一个小动脉瘤。除二尖瓣环成形术和迷宫手术外，两个心房动脉瘤均被切除。