- 期刊
Isolated Congenital Ventricular Septal Aneurysm in an Adult – a Case Report
先天性心室中隔瘤：一成人病例報告
摘要
未合併心室中隔缺損之先天性心室中隔瘤臨床上十分少見，本文報告一成人病例之臨床表徵，並作文獻回顧。一五十四歲女性因陣發性心悸，胸痛多年而就醫，理學檢查在心尖處可聽到收縮期之分裂及第二度心縮期雜音。胸前心臟超音波及經食道心臟超音波顯示二尖辦脫垂伴輕度二尖瓣逆流，同時意外發現一心室中隔入右心室但未造成明顯阻塞，亦未發現心室中隔缺損。心導管檢查及左右心室造影進一步確定先天性心室中隔瘤之診斷。由於病人並沒有因心室中隔瘤而造成之嚴重症狀，我們建議病人接受追蹤觀察。
關鍵字
無資料並列摘要
Congential ventricular septal aneurysm without ventricular septal defect is a very rare condition. We describe the clinical features of an adult case and the literature was reviewed. A 54-year-old woman experienced intermittent palpitation with rapid heart beating sensation for several years. The duration was only several seconds. There was neither congestive heart failure nor syncope history. Physical examination revealed mid-systolic click with grade II/VI systolic murmur at apical area. Echocardiography disclosed mitral valve prolapse with mild mitral regurgitation. A ventricular septal aneurysm bulging into right ventricle was found incidentally. Transesophageal echocardiographic and cardiac angiographic pictures of ventricular septal aneurysm were demonstrated. Since the patient was relatively asymptomatic, no surgical intervention was advised.
延伸閱讀
- 林啟文（2012）。影響兒童先天性心臟病死亡率之分析—以大動脈轉位類型為例〔碩士論文，中臺科技大學〕。華藝線上圖書館。https://doi.org/10.6822/CTUST.2012.00035
- Jan, C. J., Wu, F. F., Sue, W. C., Chang, C. H., & Lin, Y. H. (1991). 以胎兒心搏遲緩表現的結節性硬化症合併心臟橫紋肌瘤：一病例報告. Acta Paediatrica Sinica, 32(3), 183-190. https://doi.org/10.7097/APS.199106.0183
- 單克敏（1963）。各種先天性心臟病之心電圖之特徵。Acta Paediatrica Sinica，4(4)，276-285。https://www.airitilibrary.com/Article/Detail?DocID=00016578-196312-4-4-276-285-a
- Lee, Y. T., Lee, K. C., Hsiung, M. C., Wei, J., Chuang, Y. C., & Chang, C. Y. (2011). 破裂至心室中隔的主動脈竇瘤：病例報告. Formosan Journal of Surgery, 44(2), 70-73. https://doi.org/10.29833/FJS.201102.0021
- 吳清俊、許清寅、何善平、余昌遺（1985）。先天性肺臟動靜脈瘻管病例報告。中華放射線醫學雜誌，10(2)，161-165。https://www.airitilibrary.com/Article/Detail?DocID=10188940-198506-10-2-161-165-a