| 姜竹,李亚敏,王新霞,刘云,吴娟,栗河舟.超声心动图诊断先天性心耳瘤[J].中国医学影像技术,2023,39(11):1649~1652 |
| 超声心动图诊断先天性心耳瘤 |
| Echocardiography for diagnosing congenital atrial appendage aneurysm |
| 投稿时间：2023-07-07 修订日期：2023-10-09 |
| DOI：10.13929/j.issn.1003-3289.2023.11.012 |
| 中文关键词: 心耳 动脉瘤 超声心动描记术 |
| 英文关键词:atrial appendage aneurysm echocardiography |
| 基金项目:2020年河南省医学科技攻关计划联合共建立项项目(LHGJ20200447)。 |
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| 中文摘要: |
| 目的 观察超声心动图诊断先天性心耳瘤(AAA)的价值。方法 回顾性分析2013年8月—2023年2月经手术确诊的3例AAA患儿,记录超声心动图所示AAA位置、大小、形态及与左心房连通情况,以及临床、心电图表现及CTA所见。结果 3例中,左AAA(LAAA)2例(序号1、2)、 双侧AAA 1例(序号3)。序号1于孕38周经产前超声心动图诊断LAAA,出生后瘤体持续增大,9岁时见左心室壁受压、窦性心动过速,左心室射血分数(LVEF)55%。序号2于孕30周产前诊断LAAA,之后至生后1个月瘤体持续增大,伴窦性心动过速,LVEF 60%。序号3于2月龄时经超声心动图检出双侧AAA压迫双侧心室壁,伴频发短阵房性心动过速,LVEF 42%。3例均接受手术切除AAA,术后心率下降、LVEF提高。结论 超声心动图可用于诊断先天性AAA,对于评估瘤体大小、形态、血栓形成及周围组织受压等具有重要价值。 |
| 英文摘要: |
| Objective To observe the value of echocardiography for diagnosing congenital atrial appendage aneurysm (AAA). Methods Data of 3 cases of congenital AAA confirmed by surgery from August 2013 to February 2023 were retrospectively analyzed. The location, size and morphology of AAA, its connection with the atria, as well as clinical, electrocardiographic and CT angiography (CTA) findings of AAA were recorded. Results There were 2 cases of left AAA (LAAA, number 1 and 2) and 1 case of bilateral AAA (number 3). Case number 1 was diagnosed LAAA by fetal echocardiography at 38 weeks of gestation, which increased continuously after birth and then was found compressing the left ventricular wall in the ninth year, accompanied by sinus tachycardia and left ventricular ejection fraction (LVEF) of 55%. Case number 2 was diagnosed LAAA at 30 weeks of gestation, which increased continuously in the fetal period and after birth, accompanied by sinus tachycardia and LVEF of 60%. Case number 3 was diagnosed bilateral AAA 2 months after birth by echocardiography, which compressed bilateral ventricular wall, accompanied by frequent short-excursion atrial tachycardia and LVEF of 42%. All 3 cases underwent surgical resection of AAA and were found with decreased heart rate and increased LVEF after surgery. Conclusion Echocardiography could be used to diagnose AAA, being valuable for assessing the size, morphology of AAA, also thrombosis and adjacent compression. |
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