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巨大主动脉左心室憩室伴主动脉瓣关闭不全和狭窄。

Giant subaortic left ventricular diverticulum with aortic regurgitation and stenosis.

机构信息

Department of Cardiovascular Surgery, Renmin Hospital of Wuhan University, China.

Department of Echocardiography, Renmin Hospital of Wuhan University, China.

出版信息

Interact Cardiovasc Thorac Surg. 2022 Aug 3;35(3). doi: 10.1093/icvts/ivac121.

DOI:10.1093/icvts/ivac121
PMID:35575347
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9419689/
Abstract

A subaortic left ventricular diverticulum (SLVD) represents an extremely rare congenital anomaly. It can be asymptomatic but sometimes develops fatal complications. Treatment has been debated due to limited experience. We present the successful treatment of a giant SLVD with aortic regurgitation and stenosis and ascending aorta dilatation. Our goal is to improve understanding of this rare entity.

摘要

左心室主动脉下憩室（SLVD）是一种极为罕见的先天性畸形。它可以无症状，但有时会发展为致命并发症。由于经验有限，治疗方法一直存在争议。我们成功治疗了一例伴有主动脉瓣反流和狭窄以及升主动脉扩张的巨大 SLVD。我们的目标是提高对这种罕见疾病的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7fb/9419689/5ecddb5d7c31/ivac121f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7fb/9419689/974a91eeac14/ivac121f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7fb/9419689/5ecddb5d7c31/ivac121f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7fb/9419689/974a91eeac14/ivac121f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7fb/9419689/5ecddb5d7c31/ivac121f2.jpg

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本文引用的文献

1
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.
2
Ventricular diverticulum: a review of the literature.心室憩室：文献综述
J Card Surg. 2013 Mar;28(2):133-8. doi: 10.1111/jocs.12059. Epub 2013 Jan 13.
3
Percutaneous transcatheter device closure of an isolated congenital LV diverticulum: first case report.
经皮导管装置闭合孤立性先天性左心室憩室：首例病例报告。
Pediatr Cardiol. 2011 Dec;32(8):1219-22. doi: 10.1007/s00246-011-9998-4. Epub 2011 May 1.
4
Congenital cardiac diverticulum in the subaortic valve area.主动脉瓣下区域先天性心脏憩室。
J Thorac Cardiovasc Surg. 2006 Nov;132(5):1087-91. doi: 10.1016/j.jtcvs.2006.08.007.