Guimarães A C, Filho A S, Esteves J P, Abreu W N, Vinhaes L A, de Almeida Souza J A, Machado A
Br Heart J. 1976 Oct;38(10):1080-5. doi: 10.1136/hrt.38.10.1080.
Two cases of left ventricular aneurysm, a 16-year-old black boy and a 23-year-old white girl, from Bahia, Brazil, are presented. In both patients there was enlargement of the cardiac silhouette and a prominent bulge of the left inferior border. On the right oblique view a ring of calcium at the ventricular opening of the aneurysms was visualized. A left ventriculogram showed a huge aneurysm in the first case and a bulge on the lateral wall of the left ventricle in the other. Cardiac catheterization showed a rise in left and right ventricular end-diastolic pressures and in the mean pulmonary artery pressure. In the first case the contour of the right ventricular pressure curve showed a restrictive pattern. The similarities of these aneurysms with the annular submitral type described in young black Africans are stressed.
本文介绍了来自巴西巴伊亚州的两例左心室动脉瘤病例，一例为16岁黑人男孩，另一例为23岁白人女孩。两名患者均有心脏轮廓增大以及左下缘明显膨出。在右前斜位片上可见动脉瘤心室开口处有一圈钙化。左心室造影显示，第一例为巨大动脉瘤，另一例为左心室侧壁膨出。心导管检查显示左、右心室舒张末期压力及平均肺动脉压升高。在第一例中，右心室压力曲线的轮廓显示为限制性模式。强调了这些动脉瘤与年轻非洲黑人中描述的环状二尖瓣下型动脉瘤的相似性。
