Lintermans J P
Arch Mal Coeur Vaiss. 1977 Feb;70(2):129-34.
A retrospective study allowed us to examine 23 cases with aneurysm of the left ventricle. The aneurysm was discovered incidentally in 6 patients, and as a result of cardiac symptoms in an other 14. The diagnosis made following a cerebrovascular accident and an episode of ventricular tachycardia respectively in two cases. Radiological and electrocardiographical investigation revealed the classical findings in 21 cases, while inflammatory changes were also present in 19. Tuberculosis was found to coexist in 4 patients, and was suspected in a further 4. The aetiology of these aneurysms has remained obscure until now. We feel that a debilitating conditions such as tuberculosis or late pregnancy, or perhaps a change in cardiac function, might lead to the development or enlargement of a sub-annular aneurysm in a predisposed subject. One of our patients presented with an apical aneurysm of the left ventricle in association with a complete situs inversus. A further patient had sustained a severe precordial ingiury 10 years previously, and 2 others had a past history of rheumatic joint disease many years previously. It appears to us that cases with calcification have a better prognosis.
一项回顾性研究使我们能够检查23例左心室动脉瘤患者。6例患者的动脉瘤是偶然发现的，另外14例是由心脏症状导致发现的。分别有2例患者是在脑血管意外和室性心动过速发作后确诊的。放射学和心电图检查在21例患者中发现了典型表现，19例患者还存在炎症改变。4例患者同时患有结核病，另有4例疑似患有结核病。这些动脉瘤的病因至今仍不清楚。我们认为，诸如结核病或晚期妊娠等使人虚弱的状况，或者心脏功能的改变，可能会导致易感人群发生环状下动脉瘤或使其扩大。我们的一名患者表现为左心室心尖部动脉瘤并伴有完全性内脏反位。另有一名患者10年前曾遭受严重的心前区损伤，还有2名患者多年前有风湿性关节病病史。在我们看来，有钙化的病例预后较好。
