Guéret P, Farcot J C, Bardet J, Boisante L, Dubourg O, Terdjman M, Ferrier A, Rigaud M, Bourdarias J P
Arch Mal Coeur Vaiss. 1982 Sep;75(9):1029-37.
2D echocardiography is a great advance in the study of left ventricular aneurysms. The wide field of visualisation and the numerous planes of examination obtained from different transducer positions allow precise spatial orientation and reliable analysis of regional wall movement. An aneurysm appears as a clear and constant bulge of a segment of left ventricular wall in both diastole and systole. Antero apical aneurysms are the commonest variety. The sensitivity and specificity of 2D echo in the detection of ventricular aneurysms are high. Thrombosis within the aneurysmal bulge may also be detected (33-38%). Pseudo-left ventricular aneurysms are easily identified as a chamber communicating with the ventricle by means of a narrow neck; the width of this neck is the main echocardiographic feature differentiating pseudo and true ventricular aneurysms. 2D echocardiography gives valuable information on the state of the remaining contractile area, an important prognostic factor when surgical resection of the aneurysm is being considered.
二维超声心动图在左心室室壁瘤的研究方面是一项重大进展。其广阔的视野以及通过不同换能器位置获得的众多检查平面，能够实现精确的空间定位，并对局部室壁运动进行可靠分析。室壁瘤在舒张期和收缩期均表现为左心室壁某节段清晰且持续的膨出。前壁心尖部室壁瘤最为常见。二维超声心动图检测室壁瘤的敏感性和特异性都很高。瘤体膨出内的血栓也有可能被检测到（33% - 38%）。假性左心室室壁瘤很容易被识别，它是通过一个狭窄颈部与心室相通的腔室；该颈部的宽度是区分假性和真性室壁瘤的主要超声心动图特征。二维超声心动图能提供有关其余收缩区域状态的有价值信息，这在考虑对室壁瘤进行手术切除时是一个重要的预后因素。
