Giant congenital left atrial aneurysm in an 11-year-old boy.
Giant congenital left atrial aneurysm in an 11-year-old boy.
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一名 11 岁男孩患有巨大先天性左心房动脉瘤。
DOI：
10.1161/circulationaha.111.057810
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发表时间：
2012
期刊：
影响因子：
37.8
通讯作者：
Chun
中科院分区：
文献类型：
--
作者：
Wen;Shu;Shyh;J. Jhuang;Yung;Jou;Mei;Chun
1例11岁男童因近乎晕厥到本院就诊。他以前总体上是健康的。体格检查，意识清晰，无局灶性神经功能障碍。心跳不规律。心电图显示心房扑动伴不同的室性反应(图1A)。胸部X线片显示心脏增大，心尖指向左侧(图1B)。然而，经胸超声心动图显示，胸片上推测的心尖位置实际上被极度扩张的左心房(LA)占据。心尖指向胸部右侧。发现轻至中度二尖瓣返流，但两个二尖瓣叶的形态和开放均正常。CT证实诊断为巨大左房动脉瘤合并心尖部右移(图1C和1D)。The…
An 11-year-old boy was referred to our hospital for near syncope. He was generally healthy before. On physical examination, his consciousness was clear, and there was no focal neurological deficit. The heart beat was irregular. ECG showed atrial flutter with variable ventricular response (Figure 1A). Cardiomegaly was noted on chest x-ray, with cardiac apex pointing toward the left side (Figure 1B). However, the transthoracic echocardiography showed that the location of presumed cardiac apex on chest x-ray was actually occupied by an extremely dilated left atrium (LA). The cardiac apex was pointed toward the right side of the chest. Mild to moderate mitral valve regurgitation was found, but the morphology and opening of both mitral leaflets appeared normal. Computed tomography confirmed the diagnosis of a giant LA aneurysm with rightward shift of the cardiac apex (Figure 1C and 1D). The …