Jacksch R, Voelker W, Unterberg R, Karsch K R
Abteilung Innere Medizin III der Eberhard-Karls-Universität Tübingen.
Z Kardiol. 1988 Dec;77(12):814-8.
Right ventricular aneurysms of different etiology are rare findings. Aneurysms of traumatic origin after penetrating accidents are reported. After nonpenetrating traumas formation of a right ventricular aneurysm, however, has not yet been reported. This case report deals with a 25-year-old patient who developed an aneurysm of the right ventricular outflow tract and tricuspid regurgitation after a nonpenetrating chest trauma. Clinical, hemodynamic, and echocardiographic findings with a follow up for 18 months demonstrate excellent adaptation to the traumatic changes. Therapeutic consequences are discussed with respect to the literature and prognosis.
不同病因的右心室动脉瘤是罕见的发现。有关于穿透性事故后创伤性起源动脉瘤的报道。然而,非穿透性创伤后右心室动脉瘤的形成尚未见报道。本病例报告涉及一名25岁患者,其在非穿透性胸部创伤后出现右心室流出道动脉瘤和三尖瓣反流。临床、血流动力学和超声心动图检查结果以及18个月的随访表明对创伤性改变有良好的适应性。结合文献讨论了治疗结果和预后。