Gallego-Galiana J, Aguilar-Shea A L
Semergen. 2012 Apr;38(3):175-7.
We report the case of a 46 year old asymptomatic male whose chest X-ray showed a right aortic knob and in the physical examination he had a systolic murmur with a palpable left parasternal heave. On performing the transesophageal echocardiography and MRI a ventricular septal defect (VSD) was observed which only requires periodic echocardiographic reviews. VSD is the most common congenital heart disease. The VSD may be membranous, inlet, trabecular, or infundibular. The clinical signs may range from only anodyne with a left pansystolic parasternal murmur on physical examination, up to lung hyper-flow which may lead to heart failure. The chest X-ray showed cardiomegaly, the electrocardiogram showed biventricular hypertrophy, and the echocardiography and MRI showed the size and number of communications. Treatment is conservative, since 50% close spontaneously in the first years of life, reserving surgery for symptomatic and asymptomatic cases with a significant shunt.
我们报告一例46岁无症状男性病例，其胸部X线显示右主动脉结，体格检查发现收缩期杂音，左胸骨旁可触及抬举感。经食管超声心动图和磁共振成像检查发现室间隔缺损（VSD），仅需定期进行超声心动图复查。室间隔缺损是最常见的先天性心脏病。室间隔缺损可分为膜周部、流入道、小梁部或漏斗部型。临床体征范围从体格检查时仅出现无明显症状的左全收缩期胸骨旁杂音，到可能导致心力衰竭的肺血流增多。胸部X线显示心脏扩大，心电图显示双心室肥厚，超声心动图和磁共振成像显示分流的大小和数量。治疗是保守的，因为50%的病例在生命的最初几年会自然闭合，仅对有症状和无症状但存在明显分流的病例进行手术治疗。
