Perrotta S, Guarini P, Accadia M, Canciello M, Spadaro P, Ruta A, Gallotto V, Granato Corigliano G
II Divisione di Cardiologia ed UTIC, Ospedale Ascalesi, Napoli.
Minerva Cardioangiol. 1995 Jul-Aug;43(7-8):339-43.
We report two cases of atrial septal aneurysm, one associated with paroxysmal supraventricular tachycardia, the second with atrial septal defect. In both cases there were verified some transitory ischemic attacks. Carotid ultrasonography excluded atherosclerosis lesions. Two-dimensional transthoracic echocardiography showed an atrial septal aneurysm which, in the second case, was associated with atrial septal defect as demonstrated by color Doppler. The therapy is discussed in the case of septal atrial aneurysm associated with transitory ischemic attack, anticoagulant therapy is indicated; in the other, surgical correction of the defect is necessary.
我们报告了两例房间隔瘤病例，一例与阵发性室上性心动过速相关，另一例与房间隔缺损相关。在这两例中均证实有一些短暂性脑缺血发作。颈动脉超声检查排除了动脉粥样硬化病变。经胸二维超声心动图显示有房间隔瘤，在第二例中，经彩色多普勒证实与房间隔缺损相关。本文讨论了与短暂性脑缺血发作相关的房间隔瘤的治疗方法，表明需要进行抗凝治疗；另一例则需要对缺损进行手术矫正。
