Alday L E, Moreyra E, Quiroga C, Buonano C, Dander B
Br Heart J. 1976 Feb;38(2):162-6. doi: 10.1136/hrt.38.2.162.
Ventricular aneurysms in children are unusual. Three patients with cardiomyopathy associated with angiographically proved left ventricular aneurysms in this age group are reported. Two of them were girls. The ages were 20 months, 7 years, and 14 years. Heart failure was present in all patients. There was radiological evidence of cardiomegaly in all three, and the electrocardiogram showed signs of necrosis in two of them. Selective left ventricular angiography disclosed generalized hypokinesis in all patients. One child had an aneurysm of the diaphragmatic wall. In another the aneurysm was localized in the muscular ventricular septum, causing severe subpulmonary stenosis by encroaching in the right ventricular outflow tract during systole. The third patient had an aneurysm of the left ventricular free wall partly encircling the left ventricle. The coronary arteries appeared normal in all cases. The clinical features of the underlying disease were not altered by the presence of the aneurysm except in the patient with the septal aneurysm and subpulmonary stenosis. In this patient the aneurysm was successfully resected.
儿童心室瘤并不常见。本文报道了3例患有心肌病且经血管造影证实存在左心室瘤的该年龄组患儿。其中2例为女孩。年龄分别为20个月、7岁和14岁。所有患儿均出现心力衰竭。所有3例均有心脏扩大的影像学证据，其中2例心电图显示有坏死迹象。选择性左心室血管造影显示所有患儿均有普遍性运动减弱。1例患儿有膈壁瘤。另1例患儿的动脉瘤位于肌性室间隔，收缩期时瘤体侵入右心室流出道，导致严重的肺动脉瓣下狭窄。第3例患儿有左心室游离壁瘤，部分环绕左心室。所有病例的冠状动脉均看似正常。除了患有室间隔瘤和肺动脉瓣下狭窄的患儿外，动脉瘤的存在并未改变基础疾病的临床特征。该患儿的动脉瘤被成功切除。
