Hamaoka K, Onaka M, Tanaka T, Onouchi Z
Department of Pediatrics, Fukui Cardiovascular Center, Japan.
Pediatr Cardiol. 1987;8(3):169-75. doi: 10.1007/BF02263448.
Clinical profiles were analysed of 18 children with congenital ventricular aneurysm (CVA) and diverticulum (CVD) (nine with CVA and nine with CVD). Of 18 children, only six had any symptoms, consisting of chest discomfort, palpitation, or convulsion. Heart murmurs were heard in nine of the 18 children, and a nonspecific systolic ejection murmur in one. A systolic click was heard in only four children. Dyskinesia of an abnormal protrusion of the cardiac silhouette on the chest x-ray film was detected in only three. The ECG revealed abnormal findings in all children. In those with CVA, signs of myocardial damage or left axis deviation (LAD) and left bundle branch block (LBBB) were the main findings. Among those with CVD, multiple premature ventricular contractions (PVCs) were present in four; some signs of myocardial damage were present in three. None of those with CVD had LAD or LBBB. Among the four children with right ventricular diverticulum, multiple PVCs were present in three. The lesions were detected by two-dimensional echocardiography (2DE) before angiography in 13 (72%) of 18 children. The wall kinetics of the lesions, as seen on 2DE, were in agreement with the subsequent angiographic findings.
对18例先天性心室瘤（CVA）和憩室（CVD）患儿（9例CVA和9例CVD）的临床资料进行了分析。18例患儿中，只有6例有任何症状，包括胸部不适、心悸或抽搐。18例患儿中有9例听到心脏杂音，1例听到非特异性收缩期喷射性杂音。仅4例患儿听到收缩期喀喇音。胸部X线片上仅3例检测到心脏轮廓异常突出的运动障碍。所有患儿的心电图均有异常发现。在CVA患儿中，主要表现为心肌损伤迹象或左轴偏移（LAD）和左束支传导阻滞（LBBB）。在CVD患儿中，4例有频发室性早搏（PVC）；3例有一些心肌损伤迹象。CVD患儿均无LAD或LBBB。在4例右心室憩室患儿中，3例有频发PVC。18例患儿中有13例（72%）在血管造影前通过二维超声心动图（2DE）检测到病变。2DE上所见病变的壁运动与随后的血管造影结果一致。
