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中华医学超声杂志(电子版) ›› 2024, Vol. 21 ›› Issue (11) : 1085 -1088. doi: 10.3877/cma.j.issn.1672-6448.2024.11.013

所属专题: 经典病例

病例报告

产前超声诊断先天性左心室壁瘤一例
韩旭1, 潘陈可1, 秦佳乐2,()   
  1. 1.322000 浙江义乌,浙江大学医学院附属第四医院国际医学院 国际健康医学研究院超声诊断科
    2.310006 杭州,浙江大学医学院附属妇产科医院超声科
  • 收稿日期:2024-09-24 出版日期:2024-11-01
  • 通信作者: 秦佳乐

Prenatal ultrasound diagnosis of congenital left ventricular aneurysm: a case report

Xu Han, Chenke Pan, Jiale Qin()   

  • Received:2024-09-24 Published:2024-11-01
  • Corresponding author: Jiale Qin
引用本文:

韩旭, 潘陈可, 秦佳乐. 产前超声诊断先天性左心室壁瘤一例[J/OL]. 中华医学超声杂志(电子版), 2024, 21(11): 1085-1088.

Xu Han, Chenke Pan, Jiale Qin. Prenatal ultrasound diagnosis of congenital left ventricular aneurysm: a case report[J/OL]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2024, 21(11): 1085-1088.

图1 胎儿超声心动图。图a、b:在LV顶端可看到巨大的薄壁室壁瘤(箭头),并与左心室腔相连,图b为图a的局部放大图像。图c:彩色多普勒图像显示从LV到室壁瘤的彩色血流射流。图d:脉冲多普勒频谱显示胎儿心律失常 注:RV为右心室,LV为左心室
图2 患儿出生后1 d的经胸超声心动图。图a:左心室可见一个巨大的心尖室壁瘤(箭头);图b:M型超声心动图显示左心功能减退,左心室射血分数为44%
图3 婴儿5日龄的心血管磁共振成像图像,提示左心室变大,左心室前下壁变薄,左心室顶端有局部向外的瘤样隆起
图4 术后病理切片显示心肌纤维排列紊乱,局部空泡化,一些部位的细胞核增大且不典型,肌束之间的小纤维血管增生,存在散在的炎症细胞(HE×10)
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