Abdul Jabbar Ali, Mufti Omar, Mazur Wojciech, Quraishi Muhammad Bilal, Srivastava Bal K, Tivakaran Vijay
Department of Internal Medicine, Division of Cardiology, Wright State University Boonshoft School of Medicine, Dayton, Ohio, USA.
Department of Cardiovascular Medicine, University of Toledo Health Science Campus, Toledo, Ohio, USA.
J Ultrasound Med. 2017 May;36(5):869-878. doi: 10.7863/ultra.16.02087. Epub 2017 Feb 23.
A ventricular septal defect is the most common congenital cardiac abnormality encountered in infants and children. Many of them survive through adulthood before diagnosis. Two-thirds of the cases involve the membranous part of the septum. In the absence of an interventricular shunt or concomitant cardiac surgery, guidelines for surgical intervention or resection of isolated aneurysms of the membranous septum are not well established. In this report, we discuss a multi-imaging modality approach for the diagnosis and assessment of membranous ventricular septal aneurysms and review the experts' consensuses for follow-up and treatment strategies.
室间隔缺损是婴幼儿和儿童中最常见的先天性心脏异常。其中许多患者在成年前未被诊断出来就存活了下来。三分之二的病例涉及室间隔的膜部。在没有室间分流或同期心脏手术的情况下，关于膜部间隔孤立性动脉瘤的手术干预或切除的指南尚未明确确立。在本报告中，我们讨论了一种用于诊断和评估膜部室间隔动脉瘤的多影像学方法，并回顾了专家们关于随访和治疗策略的共识。
