左心室憩室合并胸痛及附壁血栓1例  

Left ventricular diverticulum with chest pain and mural thrombosis: one case report

作　　者：范媛媛[1] 徐伟仙[1] 王新宇[1] 冯新恒[1] 张永珍[1] 高炜[1] FAN Yuanyuan;XU Weixian;WANG Xinyu;FENG Xinheng;ZHANG Yongzhen;GAO Wei(Department of Cardiology,Peking University Third Hospital,Beijing,100191,China)

机构地区：[1]北京大学第三医院心血管内科,北京100191

出　　处：《临床心血管病杂志》2021年第2期190-192,共3页Journal of Clinical Cardiology

摘　　要：1 病例资料患者,女,69岁,主因"间断活动时胸痛1年,加重2个月,发现左心室附壁血栓6 d"入院。1年前患者从事农务劳动时间断出现胸痛,休息20 min左右可缓解。近2周一般家务劳动时胸痛症状反复发作,自觉活动耐力较前下降。6 d前行超声心动图检查提示:左室心尖部运动减弱、局部变薄,可探及10.2 mm×10.5 mm的团块影,拟诊左心室附壁血栓,给予阿司匹林、氯吡格雷抗血小板,达肝素钠抗凝治疗。患者否认高血压、糖尿病病史。The ventricular diverticulum, a rare congenital heart disease, is a cystic structure protruding from the ventricular wall. The vast majority of patients with ventricular diverticulum have no clinical symptoms, and some have severe clinical complications, such as cardiac rupture, arrhythmia, heart failure, and even sudden death. A 69-year old female presented with intermittent chest pain during activities. The ventricular diverticulum complicated with ventricular mural thrombosis was finally confirmed by transthoracic echocardiography, ventricular contrast echocardiography, and enhanced magnetic resonance imaging.

关 键 词：左心室憩室 胸痛 附壁血栓 

分 类 号：R541[医药卫生—心血管疾病]