左室心肌致密化不全合并先天性左室-右房通道1例  

Left ventricular non-compaction and left ventricular-right atrium communication

作　　者：吕志阳[1,2] 彭红玉[3,4] 柳景华[3,4] 王长华[3,4] 王瑞[3,5] 范占明[3,5] 

机构地区：[1]宜昌市中心人民医院心内科 [2]三峡大学心血管病研究所,湖北宜昌443003 [3]首都医科大学附属北京安贞医院 [4]北京市心肺血管疾病研究所心内科28病房 [5]北京市心肺血管疾病研究所医学影像科

出　　处：《临床心血管病杂志》2014年第3期268-270,共3页Journal of Clinical Cardiology

基　　金：首都医科大学基础临床科研合作基金资助项目(No:12JL57)

摘　　要：1病例资料 患者，男，57岁，工人，主因“反复呼吸困难10年余”入院。患者10年前开始出现活动时呼吸困难，伴乏力，偶有夜间平卧受限，无胸痛及肩背部放射痛，无咳嗽及咳粉红色泡沫痰，无双下肢水肿，曾就诊于当地医院，诊断为“冠心病、心功能不全”，给予阿司匹林片、美托洛尔、呋塞米等治疗，症状有所缓解。入院前1个月，患者上述症状加重，A male patient, 57 years old, was admitted on May. 6, 2013 because of ＂repeated chest tightness and short of breath for 10 years＂. In the past 10 years, the patient had developed chest tightness, short of breath and cough after activities without chest pain. Coronary angiography and left ventriculography showed 30% steno- sis in mid left anterior descending （LAD）, the left ventricular was significantly dilated, the contraction of apex was weakened, EF~_~40~~o MRI showed ventricular wall motion decreased, non densification/densification myo- cardial thickness= 2.5, left ventricular-right atrium communication. The diagnosis is left ventricular non-compaction and left ventricular-right atrium communication.

关 键 词：心肌致密化不全 左室-右房通道 左心扩大 心功能不全 

分 类 号：R542.2[医药卫生—心血管疾病]