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缺血性疾病所致右心室室壁瘤。通过放射性核素血管造影术及相位分析对室性早搏起源部位进行定位诊断。

Right ventricular aneurysm due to ischemic disease. Diagnosis by radionuclide angiography with localization of the site of PVC origin by phase analysis.

作者信息

Shaffer P B, Bashore T M, Noto A M, Diblasio G, Olsen J O, Schall S F

出版信息

Clin Nucl Med. 1987 Feb;12(2):103-5. doi: 10.1097/00003072-198702000-00003.

DOI:10.1097/00003072-198702000-00003
PMID:3829530
Abstract

A case of right ventricular aneurysm due to coronary artery disease in a 69-year-old male with no prior history of surgery or chest trauma is reported. The presence of the aneurysm was diagnosed by gated radionuclide angiography and confirmed by contrast angiography. This is the first description of an isolated right ventricular aneurysm on the basis of ischemic disease. In addition, the patient had recurrent ventricular tachycardia and frequent premature ventricular contractions (PVC's). Using radionuclide angiographic phase analysis of the PVC's, their apparent origin was localized to the margin of the right ventricular aneurysm.

摘要

报告了一例69岁男性因冠状动脉疾病导致右心室动脉瘤的病例,该患者既往无手术或胸部外伤史。通过门控放射性核素血管造影诊断出动脉瘤的存在,并经造影血管造影证实。这是基于缺血性疾病对孤立性右心室动脉瘤的首次描述。此外,该患者有反复发作的室性心动过速和频发室性早搏(PVC)。利用PVC的放射性核素血管造影相位分析,其明显起源定位于右心室动脉瘤边缘。

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