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儿童创伤性梗死导致左心室室壁瘤:二维超声心动图诊断

Childhood traumatic infarction causing left ventricular aneurysm: diagnosis by two-dimensional echocardiography.

作者信息

Long W A, Willis P W, Henry G W

出版信息

J Am Coll Cardiol. 1985 Jun;5(6):1478-83. doi: 10.1016/s0735-1097(85)80366-1.

DOI:10.1016/s0735-1097(85)80366-1
PMID:3998323
Abstract

After being struck by an automobile, a 9 year old boy developed transient right bundle branch block followed by electrocardiographic changes of inferior wall myocardial infarction and an increase of serum cardiac enzymes. Two-dimensional echocardiography demonstrated a prominent septal aneurysm. Subsequent cardiac catheterization confirmed septal aneurysm and demonstrated an additional inferior aneurysm. Six weeks after the accident, resection of the inferior aneurysm was performed. At 1 year follow-up study, residual septal aneurysm and cardiomegaly are present, but the boy is asymptomatic.

摘要

一名9岁男孩被汽车撞击后,出现短暂性右束支传导阻滞,随后出现下壁心肌梗死的心电图改变及血清心肌酶升高。二维超声心动图显示有一个明显的室间隔瘤。随后的心导管检查证实了室间隔瘤,并发现还有一个下壁动脉瘤。事故发生六周后,对下壁动脉瘤进行了切除。在1年的随访研究中,仍存在残余室间隔瘤和心脏扩大,但该男孩无症状。

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