Echocardiography Department, Rajaie Cardiovascular Medical and Research Center, Tehran, Iran.
Imaging Department, Rajaie Cardiovascular Medical and Research Center, Tehran, Iran.
Heart. 2018 Aug;104(15):1307. doi: 10.1136/heartjnl-2018-313223. Epub 2018 May 31.
A 32-year old man was referred to our institution for transthoracic echocardiography (TTE) following detection of an incidental murmur on physical examination before blood donation. He was asymptomatic with no significant medical history. Physical examination revealed dual heart sounds with a grade II/VI systolic murmur heard in the left sternal border. An ECG was in normal sinus rhythm. TTE was performed (figure 1A-C, online supplementary videos 1-4) followed by cardiac CT angiography (CTA) (figure 1D,E).heartjnl;104/15/1307/F1F1F1Figure 1(A) Transthoracic echocardiography, parasternal left ventricular long axis view. (B) Colour Doppler of modified short axis in the mid-left ventricular level. (C) Doppler flow velocity profile. (D) Cardiac CT angiography (CTA) sagittal reconstruction. (E) Three-dimensional CTA reconstruction of the heart.
What is the diagnosis?Pericardial cyst.Ventricular septal defect.Kawasaki.Anomalous left coronary artery from pulmonary artery (ALCAPA).
一名 32 岁男性因献血前体格检查时发现意外杂音而被转至我院进行经胸超声心动图（TTE）检查。他无症状，无重大病史。体格检查显示双心音，胸骨左缘可闻及 2/6 级收缩期杂音。心电图为窦性心律正常。进行了 TTE（图 1A-C，在线补充视频 1-4），随后进行了心脏 CT 血管造影（CTA）（图 1D、E）。
诊断是什么？心包囊肿。室间隔缺损。川崎病。左冠状动脉异常起源于肺动脉（ALCAPA）。
