Douchet M P, Verdun A, Carrière T, Brandt C M, Attali P, Fincker J L
Service de cardiologie, Hôpital civil, hôpitaux universitaires de Strasbourg.
Arch Mal Coeur Vaiss. 1994 Apr;87(4):451-7.
The authors undertook a retrospective study of 41 patients in whom an atrial septal aneurysm (ASA) had been diagnosed at transoesophageal echocardiography performed for ischaemic cerebrovascular events in 26 cases. No significant differences in this size, thickness or mobility of the ASA or the associated cardiac abnormalities were demonstrated in this context. However, patients presenting with cerebrovascular accidents were older, had several cardiovascular risk factors and more cardiac arrhythmias. These arrhythmias were usually related to other cardiac pathology such as ventricular hypertrophy or chronic cor pulmonale. Moreover, the probability of the cerebrovascular accident being related to the ASA was only acknowledged in 11 cases. These results mean a certain degree of discretion in diagnostic investigation and therapeutic management of these cases.
作者对41例经食管超声心动图诊断为房间隔瘤（ASA）的患者进行了回顾性研究，其中26例因缺血性脑血管事件接受了经食管超声心动图检查。在这种情况下，未发现ASA的大小、厚度或活动度以及相关心脏异常存在显著差异。然而，出现脑血管意外的患者年龄较大，有多种心血管危险因素且心律失常较多。这些心律失常通常与其他心脏病变有关，如心室肥厚或慢性肺源性心脏病。此外，只有11例患者的脑血管意外被认为与ASA有关。这些结果意味着在这些病例的诊断调查和治疗管理上需要一定程度的谨慎。
