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一例伪装成冠状动脉瘤的左心耳病例。

A Case of a Left Atrial Appendage Disguised as a Coronary Artery Aneurysm.

作者信息

Das Nikkan, Tadros Sameh S, DeBrunner Mark

机构信息

UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.

出版信息

CASE (Phila). 2021 Aug 6;5(5):305-308. doi: 10.1016/j.case.2021.07.004. eCollection 2021 Oct.

DOI:10.1016/j.case.2021.07.004

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8530799/

Abstract

• LAA is a complex, variable anatomic structure that can be mistaken for other cardiac structures. • Color and spectral Doppler may help to discern the LAA from surrounding structures. • Cross-sectional imaging such as CTA can aid in defining the morphology of the LAA.

摘要

• 左心耳是一个复杂多变的解剖结构，可能会被误认为是其他心脏结构。

• 彩色及频谱多普勒有助于将左心耳与周围结构区分开来。

• 诸如CTA等横断面成像有助于明确左心耳的形态。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9eee/8530799/ac8df45e15fa/gr5.jpg

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9eee/8530799/9e08467b54e8/fx1.jpg

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9eee/8530799/ee419f530210/gr1.jpg

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9eee/8530799/d2e7406cd307/gr2.jpg

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9eee/8530799/a967b669a7c5/gr3.jpg

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9eee/8530799/ef6a4380c633/gr4.jpg

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9eee/8530799/ac8df45e15fa/gr5.jpg

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9eee/8530799/9e08467b54e8/fx1.jpg

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9eee/8530799/ee419f530210/gr1.jpg

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9eee/8530799/d2e7406cd307/gr2.jpg

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9eee/8530799/a967b669a7c5/gr3.jpg

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9eee/8530799/ef6a4380c633/gr4.jpg

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9eee/8530799/ac8df45e15fa/gr5.jpg

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Diagnostics (Basel). 2025 Aug 18;15(16):2070. doi: 10.3390/diagnostics15162070.

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Left atrial appendage aneurysm: a descriptive systematic review of 177 cases.左心耳动脉瘤：177 例描述性系统评价。

BMC Cardiovasc Disord. 2024 Nov 11;24(1):633. doi: 10.1186/s12872-024-04323-x.

本文引用的文献

1

The left atrial appendage: anatomy, function, and noninvasive evaluation.左心耳：解剖、功能和无创评估。

JACC Cardiovasc Imaging. 2014 Dec;7(12):1251-65. doi: 10.1016/j.jcmg.2014.08.009.

2

Left atrial appendage: variations in morphology and position causing pitfalls in pediatric echocardiographic diagnosis.左心耳：形态和位置的变异导致小儿超声心动图诊断中的陷阱。

J Am Soc Echocardiogr. 2007 Aug;20(8):1011-6. doi: 10.1016/j.echo.2007.03.017. Epub 2007 Jun 25.

3

Echocardiographic assessment of the left atrial appendage.左心耳的超声心动图评估。

J Am Coll Cardiol. 1999 Dec;34(7):1867-77. doi: 10.1016/s0735-1097(99)00472-6.

4

Transthoracic Doppler echocardiography of normally originating coronary arteries in children.儿童正常起源冠状动脉的经胸多普勒超声心动图检查

J Am Soc Echocardiogr. 1998 May;11(5):409-20. doi: 10.1016/s0894-7317(98)70019-7.

5

Anatomy of the normal left atrial appendage: a quantitative study of age-related changes in 500 autopsy hearts: implications for echocardiographic examination.

Circulation. 1997 Nov 4;96(9):3112-5. doi: 10.1161/01.cir.96.9.3112.