Hubbard W N, Hine A L, Rubens M, Donaldson R M
Cathet Cardiovasc Diagn. 1987 Jan-Feb;13(1):22-5. doi: 10.1002/ccd.1810130104.
Abnormal vascularity in the region of the left atrial appendage was demonstrated by coronary arteriography in 5 patients with mitral stenosis. Subsequently, three of these patients proceeded to operation, and left atrial thrombi were confirmed in all three cases. Neovascularity must be differentiated from congenital fistulae, tumours, and coronary artery disease. Thrombus in the left atrial appendage is difficult to diagnose even with the use of cross-sectional echocardiography and may occasionally be demonstrated by coronary arteriography.
5例二尖瓣狭窄患者经冠状动脉造影显示左心耳区域血管异常。随后，其中3例患者接受手术，所有3例均证实存在左心房血栓。新生血管必须与先天性瘘管、肿瘤和冠状动脉疾病相鉴别。即使使用超声心动图断层扫描，左心耳内的血栓也很难诊断，偶尔可通过冠状动脉造影显示。
