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偶然发现罕见的右心室动脉瘤。

Incidental discovery of a rare right ventricular aneurysm.

作者信息

Voter Andrew F, Kanne Jeffrey P, Kuner Anthony D, Gettle Lori Mankowski

机构信息

University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue, Madison, WI 53705, USA.

Department of Radiology, University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue, D4-352, Madison, WI 53705, USA.

出版信息

Radiol Case Rep. 2021 Jan 12;16(3):704-706. doi: 10.1016/j.radcr.2020.12.066. eCollection 2021 Mar.

DOI:10.1016/j.radcr.2020.12.066
PMID:33488903
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7807093/
Abstract

Three types of cardiac outpouchings are encountered on cardiovascular imaging: diverticula, aneurysms and pseudoaneurysms. The underlying physiology, imaging findings, risk of rupture, and optimal treatment varies for each and a correct diagnosis is critical. We report a case of a rare, incidentally discovered right ventricular aneurysm that was characterized by transthoracic echocardiogram, computed tomography, and cardiac MRI. The types of cardiac outpouchings are reviewed, and we discuss the selection of imaging modality, keys to distinguishing the outpouchings, and management strategies.

摘要

在心血管成像中可发现三种类型的心脏外凸

憩室、动脉瘤和假性动脉瘤。每种类型的潜在生理学、影像学表现、破裂风险及最佳治疗方法各不相同，正确诊断至关重要。我们报告一例罕见的、偶然发现的右心室动脉瘤病例，该病例通过经胸超声心动图、计算机断层扫描和心脏磁共振成像进行了特征性描述。本文回顾了心脏外凸的类型，并讨论了成像方式的选择、区分这些外凸的关键以及管理策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99ef/7807093/55812b805d24/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99ef/7807093/f7700b11a64a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99ef/7807093/18c43281bb63/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99ef/7807093/55812b805d24/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99ef/7807093/f7700b11a64a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99ef/7807093/18c43281bb63/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99ef/7807093/55812b805d24/gr3.jpg

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Incidental discovery of a rare right ventricular aneurysm.偶然发现罕见的右心室动脉瘤。
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本文引用的文献

1
Congenital left ventricular aneurysms and diverticula: an entity in search of an identity.先天性左心室动脉瘤和憩室：一个寻求明确身份的实体。
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2
Characteristics and outcome of congenital left ventricular aneurysm and diverticulum: Analysis of 809 cases published since 1816.先天性左心室动脉瘤和憩室的特征与转归：对1816年以来发表的809例病例的分析
Int J Cardiol. 2015 Apr 15;185:34-45. doi: 10.1016/j.ijcard.2015.03.050. Epub 2015 Mar 5.
3
True versus false left ventricular aneurysm: differentiation with MR imaging--initial experience.
一例巨大左心室假性动脉瘤病例。
Radiol Case Rep. 2021 Aug 1;16(10):2920-2923. doi: 10.1016/j.radcr.2021.07.006. eCollection 2021 Oct.
真性与假性左心室动脉瘤：磁共振成像鉴别——初步经验
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Ann Thorac Cardiovasc Surg. 2004 Feb;10(1):42-6.
5
Validation of real-time three-dimensional echocardiography for quantifying left ventricular volumes in the presence of a left ventricular aneurysm: in vitro and in vivo studies.实时三维超声心动图在存在左心室室壁瘤情况下定量左心室容积的验证：体外和体内研究
J Am Coll Cardiol. 2000 Sep;36(3):900-7. doi: 10.1016/s0735-1097(00)00793-2.
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7
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Circulation. 1980 Aug;62(2):294-303. doi: 10.1161/01.cir.62.2.294.
8
Prognostic significance of angiographically documented left ventricular aneurysm from the Coronary Artery Surgery Study (CASS).来自冠状动脉外科研究（CASS）的血管造影记录的左心室室壁瘤的预后意义。
Am J Cardiol. 1982 Jul;50(1):157-64. doi: 10.1016/0002-9149(82)90023-6.