Arunakumar Priyadarshini, Sastry Usha Mk, Satyamurthy Ramya Guddekeri
Department of Pediatric Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, 560069 India.
Indian J Thorac Cardiovasc Surg. 2022 Jul;38(4):448-450. doi: 10.1007/s12055-021-01287-x. Epub 2022 Jan 17.
A 4-year-old boy was diagnosed with hypertrophic cardiomyopathy with moderate degree of obstruction of the left ventricular outflow tract, secondary to asymmetric septal hypertrophy during infancy. Echocardiogram on follow-up showed increase in left ventricular outflow tract obstruction and appearance of an aneurysm in the membranous portion of interventricular septum. The appearance of the membranous septal aneurysm may be related to the direction of jet arising from the point of contact of the anterior mitral leaflet with the hypertrophied basal septum and hitting this part of the interventricular septum.
The online version contains supplementary material available at 10.1007/s12055-021-01287-x.
一名4岁男孩被诊断为肥厚型心肌病,伴有左心室流出道中度梗阻,继发于婴儿期的不对称性室间隔肥厚。随访时的超声心动图显示左心室流出道梗阻加重,室间隔膜部出现动脉瘤。膜部室间隔动脉瘤的出现可能与二尖瓣前叶与肥厚的基底间隔接触点产生的射流方向有关,该射流冲击室间隔的这一部分。
在线版本包含可在10.1007/s12055-021-01287-x获取的补充材料。