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多模态影像学在左室心尖发育不良诊断中的应用:病例报告及文献复习。

Multimodality imaging for the diagnosis of left ventricular apical hypoplasia: A case presentation and review of the literatures.

机构信息

Department of Ultrasound, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.

Department of Cardiovascular Surgery, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.

出版信息

Echocardiography. 2024 Mar;41(3):e15793. doi: 10.1111/echo.15793.

Abstract

Left ventricular apical hypoplasia is a rare malformation recently described congenital abnormality characterized by: (1) truncation of the left ventricle, with the septum projecting toward the right ventricle; (2) abnormal papillary muscle originating from the flattened left ventricular apex; (3) a narrow right ventricle encompassing the periapical area of the left ventricle; (4) fatty infiltration of the apex of the left ventricle. We reported a case of LVAH and reviewed the patient's clinical presentation. And its morphologic characteristics were revealed by multimodality imaging, including echocardiography and cardiac magnetic resonance imaging. Additionally, we reviewed 41 cases from 32 reports to summarize the pathogenesis and analyzed the imaging manifestations of LVAH in this study, aiming to provide new ideas for the diagnosis and clinical management of LVAH patients.

摘要

左心室心尖发育不良是一种罕见的畸形,是一种最近描述的先天性异常,其特征为:(1)左心室截断,室间隔向右侧突出;(2)起源于扁平左心室心尖的异常乳头肌;(3)右心室狭窄,包绕左心室心尖周区;(4)左心室心尖脂肪浸润。我们报告了 1 例 LVAH 病例,并回顾了患者的临床表现。多模态成像(包括超声心动图和心脏磁共振成像)揭示了其形态特征。此外,我们从 32 份报告中回顾了 41 例病例,以总结其发病机制,并在本研究中分析了 LVAH 的影像学表现,旨在为 LVAH 患者的诊断和临床管理提供新的思路。

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