Minami Y, Iwasa M, Takahashi Y, Nishikawa T, Nakamura K, Satomi G, Momma K, Takao A
J Cardiogr. 1981 Mar;11(1):289-96.
A 11-month-old boy with a right ventricular diverticulum was reported. To our knowledge, this is the 18th case in the literature and the first case observed by two-dimensional echocardiography. Using our systematic two-dimensional echocardiographic approach, the three dimensional structure of this anomaly was reconstructed correctly. On the short-axis view of the ventricle, an abnormal septal echo was revealed in the right anterior region of the interventricular septum, forming an another cavity from the right ventricle, and was observed to have proper own motion by real-time two-dimensional echocardiography. From apical four chamber view, the abnormal cavity was detected on the right side of the small right ventricle. By contrast echocardiography, a contrast echo appears in the right ventricle and then in the abnormal cavity. The diagnosis was confirmed by cardiac catheterization, angiography and operation.
报道了一名11个月大患有右心室憩室的男孩。据我们所知,这是文献中的第18例病例,也是首例通过二维超声心动图观察到的病例。采用我们系统的二维超声心动图方法,正确重建了该异常的三维结构。在心室短轴视图上,室间隔右前区域可见异常的间隔回声,从右心室形成另一个腔,并通过实时二维超声心动图观察到其有自身的正常运动。从心尖四腔视图中,在小右心室右侧检测到异常腔。通过对比超声心动图,对比回声先出现在右心室,然后出现在异常腔内。通过心导管检查、血管造影和手术确诊。