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双峰传奇：诊断挑战与多模态成像在左心室心尖异常中的作用

A Tale of Two Apexes: Diagnostic Challenges and the Role of Multimodality Imaging in Left Ventricular Apex Anomalies.

作者信息

Saadi Marina Petersen, Silvano Gustavo Paes, Serafini Thiago Ferreira, Boccalon Bernardo, Folador Luciano, Santiago Santos Ângela Barreto, Foppa Murilo

机构信息

Cardiology Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.

Post-Graduate Program in Cardiology and Cardiovascular Sciences, Medical School, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.

出版信息

CASE (Phila). 2024 Nov 15;8(12):542-546. doi: 10.1016/j.case.2024.09.005. eCollection 2024 Dec.

DOI:10.1016/j.case.2024.09.005
PMID:39885883
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11775891/
Abstract

• Unusual anatomic variations may be overlooked in a routine cardiac workup. • LVAH and diverticulum exemplify diagnostic challenges. • A focused examination of the LV apex is crucial to uncover subtle regional anomalies. • Multimodality imaging may improve detailed LV apex imaging.

摘要

• 常规心脏检查可能会忽略不寻常的解剖变异。

• 左心室心尖部肥厚和憩室是诊断难题的例证。

• 对左心室心尖部进行重点检查对于发现细微的局部异常至关重要。

• 多模态成像可能会改善左心室心尖部的详细成像。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11b6/11775891/8c03434e0c5a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11b6/11775891/3c399b9933cb/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11b6/11775891/14cb54cea604/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11b6/11775891/cd04ed2b3095/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11b6/11775891/8c03434e0c5a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11b6/11775891/3c399b9933cb/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11b6/11775891/14cb54cea604/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11b6/11775891/cd04ed2b3095/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11b6/11775891/8c03434e0c5a/gr3.jpg

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本文引用的文献

1
Multimodality imaging for the diagnosis of left ventricular apical hypoplasia: A case presentation and review of the literatures.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。
Echocardiography. 2024 Mar;41(3):e15793. doi: 10.1111/echo.15793.
2
Isolated left ventricular apical hypoplasia: Systematic review and analysis of the 37 cases reported so far.孤立性左心室心尖发育不全：对目前已报道的37例病例的系统评价与分析
World J Clin Cases. 2023 Aug 16;11(23):5494-5503. doi: 10.12998/wjcc.v11.i23.5494.
3
Left ventricular diverticulum: A case report and review of the literature.
左心室憩室：一例病例报告及文献综述
Radiol Case Rep. 2022 Jun 1;17(8):2717-2722. doi: 10.1016/j.radcr.2022.04.036. eCollection 2022 Aug.
4
Surgical treatment of congenital left ventricular diverticulum.先天性左心室憩室的外科治疗
J Thorac Dis. 2021 Jan;13(1):291-298. doi: 10.21037/jtd-20-3510.
5
Multimodality cardiac imaging in the 21st century: evolution, advances and future opportunities for innovation.21世纪的多模态心脏成像：演变、进展与创新的未来机遇
Br J Radiol. 2021 Jan 1;94(1117):20200780. doi: 10.1259/bjr.20200780. Epub 2020 Nov 25.
6
Guidelines for Performing a Comprehensive Transthoracic Echocardiographic Examination in Adults: Recommendations from the American Society of Echocardiography.成人经胸超声心动图全面检查操作指南：美国超声心动图学会的建议
J Am Soc Echocardiogr. 2019 Jan;32(1):1-64. doi: 10.1016/j.echo.2018.06.004. Epub 2018 Oct 1.
7
Early Detection of Left Ventricular Diverticulum by Transthoracic Echocardiography.经胸超声心动图对左心室憩室的早期检测
J Med Ultrasound. 2017 Oct-Dec;25(4):232-234. doi: 10.1016/j.jmu.2017.08.004. Epub 2017 Sep 8.
8
Clinical practice of contrast echocardiography: recommendation by the European Association of Cardiovascular Imaging (EACVI) 2017.对比超声心动图临床实践：欧洲心血管影像协会（EACVI）2017 推荐。
Eur Heart J Cardiovasc Imaging. 2017 Nov 1;18(11):1205-1205af. doi: 10.1093/ehjci/jex182.
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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.
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