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先天性左心耳动脉瘤:非典型表现。

Congenital left atrial appendage aneurysm: Atypical presentation.

作者信息

Bamous Mehdi, Aithoussa Mahdi, Abetti Ayoub, Boulahya Abdelatif

机构信息

Department of Cardiovascular, Cardiac Surgery Unit, Mohamed V Military Hospital, Mohammed V University, Rabat, Morocco.

出版信息

Ann Pediatr Cardiol. 2017 Sep-Dec;10(3):293-294. doi: 10.4103/apc.APC_4_17.

DOI:10.4103/apc.APC_4_17
PMID:28928618
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5594943/
Abstract

Congenital left atrial appendage aneurysm is a rare condition caused by dysplasia of the atrial muscles. We report a case of a 14-year-old boy, with a 5-month history of cough and in sinus rhythm. Transthoracic echocardiography and computerized tomographic angiography confirmed the aneurysm of the left atrial appendage which was resected through median sternotomy on cardiopulmonary bypass. This case is presented not only for its rarity but also for its atypical clinical presentation.

摘要

先天性左心耳动脉瘤是一种由心房肌发育异常引起的罕见病症。我们报告一例14岁男孩,有5个月咳嗽病史,心律正常。经胸超声心动图和计算机断层血管造影证实了左心耳动脉瘤,该动脉瘤在体外循环下通过正中胸骨切开术切除。展示此病例不仅因其罕见,还因其非典型的临床表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f1c/5594943/97a7c7a3c8e0/APC-10-293-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f1c/5594943/b5e293387614/APC-10-293-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f1c/5594943/97a7c7a3c8e0/APC-10-293-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f1c/5594943/b5e293387614/APC-10-293-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f1c/5594943/97a7c7a3c8e0/APC-10-293-g002.jpg

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Forensic Sci Med Pathol. 2025 Feb 7. doi: 10.1007/s12024-025-00963-3.
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Left atrial appendage aneurysm: a descriptive systematic review of 177 cases.左心耳动脉瘤:177 例描述性系统评价。
BMC Cardiovasc Disord. 2024 Nov 11;24(1):633. doi: 10.1186/s12872-024-04323-x.
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Left atrial appendage aneurysm in pediatrics: Case study and literature review.小儿左心耳动脉瘤:病例研究与文献综述

本文引用的文献

1
Left atrial appendage aneurysm: a systematic review of 82 cases.左心耳动脉瘤:82例病例的系统综述
Echocardiography. 2014 Nov;31(10):1312-8. doi: 10.1111/echo.12667. Epub 2014 Jun 28.
2
Congenital left atrial appendage aneurysm: a case report and brief review of literature.先天性左心耳动脉瘤:病例报告及文献复习。
Heart Lung Circ. 2009 Dec;18(6):412-6. doi: 10.1016/j.hlc.2008.10.015. Epub 2008 Dec 31.
3
Minimal invasive endoscopic resection of a giant left atrial appendage aneurysm.巨大左心耳动脉瘤的微创内镜切除术
Front Cardiovasc Med. 2023 Aug 10;10:1211619. doi: 10.3389/fcvm.2023.1211619. eCollection 2023.
4
Case Report: Giant Congenital Left Atrial Appendage Aneurysm Presenting With Acute Massive Cerebral Infarction and Refractory Atrial Fibrillation: A Case Report and Literature Review.病例报告:巨大先天性左心耳动脉瘤伴急性大面积脑梗死和难治性心房颤动:病例报告及文献复习
Front Cardiovasc Med. 2022 May 10;9:888825. doi: 10.3389/fcvm.2022.888825. eCollection 2022.
5
Left atrial appendage aneurysm: A case report.左心耳动脉瘤:一例报告。
World J Clin Cases. 2020 Oct 6;8(19):4443-4449. doi: 10.12998/wjcc.v8.i19.4443.
Ann Thorac Surg. 2004 Apr;77(4):1437-8. doi: 10.1016/S0003-4975(03)01303-1.
4
Treatment of congenital aneurysms of the left atrium and left atrial appendage.左心房及左心耳先天性动脉瘤的治疗。
Tex Heart Inst J. 1999;26(2):136-9.
5
Aneurysm of the left atrial appendage.
Clin Cardiol. 1979 Feb;2(1):49-51. doi: 10.1002/clc.4960020109.