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先天性左心室憩室合并心源性栓塞性中风

Congenital Left Ventricular Diverticulum Complicated by Cardioembolic Stroke.

作者信息

Daaboul Yazan, Rowin Ethan J, Couper Gregory S, Arkun Knarik, Patel Ayan R

机构信息

CardioVascular Center, Tufts Medical Center, Boston, Massachusetts.

出版信息

CASE (Phila). 2022 Jan 13;6(2):55-58. doi: 10.1016/j.case.2021.11.010. eCollection 2022 Apr.

DOI:10.1016/j.case.2021.11.010
PMID:35492295
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9050602/
Abstract

• Congenital LVD is a rare cause of stroke in young patients. • LVD results from replacing myocardium with fibrous or muscular tissue. • Diverticulum and pseudoaneurysm are in the differential diagnosis of LV outpouching. • LVD forms a cavity that communicates with the LV through a short neck. • LVDs that result in thrombus formation and stroke should be resected.

摘要

• 先天性左心室憩室是年轻患者中风的罕见原因。

• 左心室憩室是由纤维或肌肉组织替代心肌所致。

• 憩室和假性动脉瘤需与左心室膨出进行鉴别诊断。

• 左心室憩室形成一个通过短颈与左心室相通的腔。

• 导致血栓形成和中风的左心室憩室应予以切除。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff42/9050602/6a6b8ea3467d/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff42/9050602/b12efe374352/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff42/9050602/02acdd5c1e42/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff42/9050602/b858cd57d62b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff42/9050602/d369fe8c75b7/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff42/9050602/d1a95d74cd0e/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff42/9050602/f2f69ea512c7/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff42/9050602/6a6b8ea3467d/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff42/9050602/b12efe374352/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff42/9050602/02acdd5c1e42/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff42/9050602/b858cd57d62b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff42/9050602/d369fe8c75b7/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff42/9050602/d1a95d74cd0e/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff42/9050602/f2f69ea512c7/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff42/9050602/6a6b8ea3467d/gr6.jpg

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本文引用的文献

1
Surgical treatment of congenital left ventricular diverticulum.先天性左心室憩室的外科治疗
J Thorac Dis. 2021 Jan;13(1):291-298. doi: 10.21037/jtd-20-3510.
2
Congenital left ventricular diverticulum: A rare cause of cardiac arrhythmia.先天性左心室憩室：心律失常的罕见病因。
J Card Surg. 2020 Apr;35(4):926-929. doi: 10.1111/jocs.14464. Epub 2020 Feb 17.
3
Isolated congenital left ventricular diverticulum in an elderly patient that was identified because of an incidental finding during a complete medical checkup.
一名老年患者的孤立性先天性左心室憩室，是在全面体检时偶然发现的。
Int J Cardiol. 2008 Apr 10;125(2):e30-3. doi: 10.1016/j.ijcard.2007.04.106. Epub 2007 Aug 16.
4
Congenital left ventricular diverticulum.
Heart Lung Circ. 2006 Aug;15(4):272-4. doi: 10.1016/j.hlc.2006.02.013. Epub 2006 Apr 19.
5
Diagnosis and outcome in congenital ventricular diverticulum and aneurysm.先天性心室憩室与动脉瘤的诊断及预后
J Thorac Cardiovasc Surg. 2006 Feb;131(2):433-7. doi: 10.1016/j.jtcvs.2005.09.046.