Oberhänsli I, Cox J N, Faidutti B, Friedli B, Haenni B
Cardiology. 1983;70(1):24-30. doi: 10.1159/000173565.
The case of a calcified left ventricular aneurysm in a 6-year-old asymptomatic boy is presented. The anomaly was discovered on a routine chest X-ray. The etiology of this condition is discussed. A review of the literature reveals that this is a rare occurrence in children and that the origin is often unknown. Selective left coronary arteriography showed no arterial anomalies but early filling of the right coronary veins, apparently through small AV fistulas. This might have caused some peripheral myocardial underperfusion, followed by myocardial infarction and aneurysm formation. Aneurysmectomy was carried out uneventfully.
本文介绍了一名6岁无症状男孩左心室钙化性动脉瘤的病例。该异常在常规胸部X光检查中被发现。讨论了这种情况的病因。文献回顾显示，这在儿童中很少见，其病因往往不明。选择性左冠状动脉造影显示无动脉异常，但右冠状动脉静脉早期充盈，显然是通过小的动静脉瘘。这可能导致了一些外周心肌灌注不足，随后发生心肌梗死和动脉瘤形成。动脉瘤切除术顺利完成。
