Gowitt G T, Zaki S A
Fulton County Medical Examiner's Office, Atlanta, GA 30303.
Am J Forensic Med Pathol. 1988 Jun;9(2):155-8. doi: 10.1097/00000433-198806000-00013.
Cardiac diverticula have been documented in approximately 80 patients. In over 70% of cases, this lesion is associated with midline thoracoabdominal defects or other congenital malformations of the heart. The diverticulum is thought to occur early in embryogenesis from an outpouching of the endomyocardium through a weak region in the left ventricular wall, but its exact etiology is uncertain. The case of a 6-year-old white boy who died suddenly while playing is presented. Autopsy revealed a ruptured diverticulum of the left ventricular apex with massive hemopericardium and cardiac tamponade. No other abnormalities were found. The pertinent literature is reviewed.
心脏憩室已在约80例患者中得到记录。在超过70%的病例中，这种病变与胸腹部中线缺损或其他心脏先天性畸形有关。憩室被认为是在胚胎发育早期，由于心内膜通过左心室壁的薄弱区域向外突出而形成的，但其确切病因尚不确定。本文介绍了一名6岁白人男孩在玩耍时突然死亡的病例。尸检发现左心室尖部憩室破裂，伴有大量心包积血和心脏压塞。未发现其他异常。并对相关文献进行了综述。
