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在一名患有罕见室上性心动过速的患者进行计算机断层血管造影时偶然诊断出的室间隔膜部瘤。

Interventricular Membranous Septal Aneurysm Incidentally Diagnosed During Computed Tomographic Angiography in a Patient with Infrequent Supraventricular Tachycardia.

作者信息

Sharma Munish, Elmi Farhad

机构信息

Department of Internal Medicine, Easton Hospital , Easton, PA.

Department of Cardiology, Easton Hospital and Drexel University College of Medicine , Easton, PA, USA.

出版信息

Clin Pract. 2017 Jan 11;7(1):921. doi: 10.4081/cp.2017.921.

Abstract

Interventricular membranous septal (IVMS) aneurysm is a rare condition with no accurate incidence. It is known to be associated with 0.3 % of congenital heart disease and 19 % of ventricular septal defects. IVMS aneurysm is often asymptomatic but can be complicated with right ventricular obstruction, rupture, thromboembolism, and conduction defects. Clinicians and radiologist should be aware about this rare clinical entity and evaluation of any possible underlying cardiac abnormalities should be performed. Conservative management with close follow up is the mainstay of management in the absence of complication.

摘要

室间隔膜部(IVMS)瘤是一种罕见疾病,发病率尚无准确数据。已知其与0.3%的先天性心脏病和19%的室间隔缺损有关。IVMS瘤通常无症状,但可并发右心室梗阻、破裂、血栓栓塞和传导缺陷。临床医生和放射科医生应了解这种罕见的临床实体,并应对任何可能的潜在心脏异常进行评估。在无并发症的情况下,密切随访的保守治疗是主要的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/743c/5264550/a0a30164ca47/cp-2017-1-921-g001.jpg

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