Ruiz de Larrea C, Lasarte J R, Cuadrado A, Pastor E, Galdeano J M, Cabrera A
Servicio de Cardiología Pediátrica, Hospital de Cruces, Baracaldo, Vizcaya.
Rev Esp Cardiol. 1993 Jun;46(6):340-3.
Between 1983-1991 we have studied 5,221 two-dimensional echocardiography in patients suffering cardiopathies. Twelve (0.22%) had an aneurysm of the atrial septum associated with atrial septal defect. Eight patients had other cardiac anomalies. The criteria used to diagnosis the aneurysm were: 1) The atrial septum central part protrudes in the atrium. 2) 6 mm aneurysm base. 3) Minimum distance from the base to the protrusion top 6 mm. The aneurysm was located in the oval fossa in 6 patients (50%) and in the other 6 patients the aneurysm was situated in the ostium secundum. The aneurysm base measured 7.79 +/- 1 mm and the left or right septum displacement was of 7.37 +/- 1.82 mm. The left displacement was observed in 10 patients (83.3%) and the right in 2 patients (16.6%). The spontaneous closure of atrial septal defect by the aneurysm was showed in 2 (16.6%) patients and in one (8%) was necessary the surgical closure. The other 9 patients: five rested along the follow-up without any change and other 4 patients died because of cardiac malformation. To conclude the atrial septal aneurysm associated with atrial septal defect in an unusual cardiopathy. Two dimensional echocardiography and Doppler color was diagnostic in all infants.
1983年至1991年间，我们对5221例患有心脏病的患者进行了二维超声心动图检查。其中12例（0.22%）患有房间隔瘤合并房间隔缺损。8例患者有其他心脏异常。用于诊断房间隔瘤的标准为：1）房间隔中央部分突入心房。2）瘤体基底6mm。3）从基底到突出顶部的最小距离6mm。6例患者（50%）的瘤体位于卵圆窝，另外6例患者的瘤体位于继发孔。瘤体基底测量值为7.79±1mm，左右间隔移位为7.37±1.82mm。10例患者（83.3%）观察到向左移位，2例患者（16.6%）观察到向右移位。2例患者（16.6%）显示房间隔缺损被瘤体自然闭合，1例患者（8%）需要手术闭合。其他9例患者：5例在随访期间病情稳定无变化，另外4例患者因心脏畸形死亡。总之，房间隔瘤合并房间隔缺损是一种不常见的心脏病。二维超声心动图和彩色多普勒对所有婴儿均具有诊断价值。
