Friart A, Philippart C
Arch Mal Coeur Vaiss. 1986 Apr;79(4):519-22.
The authors report 2 clinical cases of ventricular aneurysm associated with a false tendon attached to the neck of the aneurysm. The first patient had no signs of false tendon before myocardial infarction. When the aneurysm developed, a false tendon was observed at its neck; a second false tendon attached to the first was also seen and appeared to have ruptured. The second patient had a right ventricular aneurysm with the same appearances of false tendon. These two cases suggested that the formation of an aneurysm might project a common muscular band into the ventricular cavity giving electrocardiographic appearances of a false tendon. We observed this association in 6 out of 23 cases of ventricular aneurysms in a prospective study. It is important to recognise this phenomenon and to differentiate it from other echogenic structures (thrombus).
作者报告了2例与附着于室壁瘤颈部的假腱索相关的室壁瘤临床病例。首例患者在心肌梗死前无假腱索迹象。当室壁瘤形成时，在其颈部观察到一条假腱索；还可见附着于第一条假腱索的第二条假腱索，且似乎已经破裂。第二例患者为右心室室壁瘤，具有相同的假腱索表现。这两例病例提示，室壁瘤的形成可能使一条共同的肌束突入室腔，产生假腱索的心电图表现。在一项前瞻性研究中，我们在23例室壁瘤病例中的6例中观察到了这种关联。认识到这一现象并将其与其他回声结构（血栓）区分开来很重要。
