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发现室间隔风袋样动脉瘤：一种偶然发现的结构异常。

Uncovering a Windsock Aneurysm of the Interventricular Septum: An Incidental Structural Abnormality.

作者信息

Erdem Saliha, Baser Kazim

机构信息

Houston Methodist Hospital, Houston, Texas, US.

出版信息

Methodist Debakey Cardiovasc J. 2025 May 15;21(3):106-108. doi: 10.14797/mdcvj.1592. eCollection 2025.

DOI:10.14797/mdcvj.1592
PMID:40384730
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12082438/
Abstract

We present a case of a 75-year-old female with a history of idiopathic small fiber neuropathy, essential hypertension, and heterozygous familial hypercholesterolemia who was evaluated for exertional dyspnea and fatigue. Coronary computed tomography angiography demonstrated a 16-mm wide-neck windsock aneurysm of the interventricular septum along with a patent foramen ovale and left-to-right shunting. This case underscores the role of advanced cardiac imaging in detecting rare structural abnormalities.

摘要

我们报告一例75岁女性患者，有特发性小纤维神经病变、原发性高血压和杂合子家族性高胆固醇血症病史，因劳力性呼吸困难和疲劳接受评估。冠状动脉计算机断层扫描血管造影显示室间隔有一个16毫米宽颈的风袋样动脉瘤，伴有卵圆孔未闭和左向右分流。该病例强调了先进心脏成像在检测罕见结构异常中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a53a/12082438/20373abcba3a/mdcvj-21-3-1592-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a53a/12082438/6778fc283ece/mdcvj-21-3-1592-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a53a/12082438/20373abcba3a/mdcvj-21-3-1592-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a53a/12082438/6778fc283ece/mdcvj-21-3-1592-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a53a/12082438/20373abcba3a/mdcvj-21-3-1592-g2.jpg

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Uncovering a Windsock Aneurysm of the Interventricular Septum: An Incidental Structural Abnormality.发现室间隔风袋样动脉瘤：一种偶然发现的结构异常。
Methodist Debakey Cardiovasc J. 2025 May 15;21(3):106-108. doi: 10.14797/mdcvj.1592. eCollection 2025.
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本文引用的文献

1
Interventricular membranous septal aneurysm: CT and MR manifestations.室间隔膜部瘤：CT与MR表现
Insights Imaging. 2016 Feb;7(1):111-7. doi: 10.1007/s13244-015-0456-3. Epub 2015 Dec 21.
2
The interventricular septum: measurement and motion.室间隔：测量与运动
Anesth Analg. 2013 Apr;116(4):788-92. doi: 10.1213/ANE.0b013e3182840f54. Epub 2013 Mar 4.
3
Cross-sectional imaging appearances of cardiac aneurysms.心脏动脉瘤的横断面成像表现。
Clin Radiol. 2010 May;65(5):349-57. doi: 10.1016/j.crad.2010.02.002. Epub 2010 Mar 29.
4
Aneurysm of the membranous septum causing outflow obstruction of the venous ventricle in corrected transposition of the great arteries.大动脉转位矫正术后膜周部室间隔瘤导致静脉心室流出道梗阻。
Tex Heart Inst J. 1982 Mar;9(1):91-5.
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Aneurysm of the membranous ventricular septum.膜性室间隔动脉瘤
Br Heart J. 1967 Jan;29(1):60-3. doi: 10.1136/hrt.29.1.60.