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壁瘤和憩室临床特征文献的统计分析

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壁瘤和憩室临床特征文献的统计分析 中国内地先天性室壁瘤和憩室临床特征 文献的统计分析 陈红武 陈明龙 杨兵 居维竹 张凤祥 侯小锋 陈椿 单其俊 邹建刚 徐东杰 曹克将 目的分析中国内地报道的先天性 室壁瘤和憩室的临床特征。方法通过检索万方 数据库、中国知网全文数据库及PubMed数据库,获取2001年1月至2009年12月中国内地报道的先 天性室壁瘤和憩室的文献资料,并对其临床特征进行分析。结果共检索到符合要求的文献109篇, 患者共116例,年龄l~80(33.5±21.3)岁,男性78例。先天性室壁瘤25例,其中包括一个家系的患 者4例,男...
壁瘤和憩室临床特征文献的统计分析
中国内地先天性室壁瘤和憩室临床特征 文献的统计分析 陈红武 陈明龙 杨兵 居维竹 张凤祥 侯小锋 陈椿 单其俊 邹建刚 徐东杰 曹克将 目的分析中国内地报道的先天性 室壁瘤和憩室的临床特征。方法通过检索万方 数据库、中国知网全文数据库及PubMed数据库,获取2001年1月至2009年12月中国内地报道的先 天性室壁瘤和憩室的文献资料,并对其临床特征进行分析。结果共检索到符合要求的文献109篇, 患者共116例,年龄l~80(33.5±21.3)岁,男性78例。先天性室壁瘤25例,其中包括一个家系的患 者4例,男性13例;先天性憩室91例,男性65例。100例患者因体检或胸闷不适通过超声心动图检 查出先天性室壁瘤和憩室。合并心内先天性缺陷34例,其中同时合并心外先天性缺陷4例。合并室 性心律失常8例,血栓形成8例,心脏破裂2例,猝死4例(包括家系患者3例)。外科治疗46例,射 频消融治疗3例,所有患者均未置人埋藏式心律转复除颤器。结论先天性室壁瘤和憩室是一种罕 见的先天性疾病,无症状患者可通过超声心动图检查发现。患者可能出现室性心律失常、血栓栓塞、 室壁瘤或憩室破裂、猝死等病情,需要积极干预。 心脏室壁瘤;憩室;疾病特征 Clinical characteristics of congenital ventricular aneurysm and diverticula in inland China CHEN Hong-wuCHEN Ming-long YANG BingJU Wei-zhuZHANG Feng-xiang HOU Xiao-fengCHEN Chun SHAN Qi-jun ZOU Jian-gang XU Dong-jieCAO Ke-jiang Department of Cardiology, First Affiliated Hospital of Nanjing Medical University,Nanjing 210029 ,China Objective To summarize the clinical characteristics of congenital ventricular aneurysm and diverticula in inland China. Methods To identify the literature of congenital aneurysm and diverticula from Wanfang, China National Knowledge Infrastructure (CNKI) and PubMed databases, and to analyze the clinical characteristics of congenital aneurysm and diverticula from January of 2001 to December of 2009. Results A total of 116 patients [ 78 men, 1 -80 (33.5 ± 21.3) years old ] with congenital aneurysm or diverticula were included in 109 articles. Twenty-five patients (13 men) were congenital ventricular aneurysm, including a family of 4 patients. Ninety-one patients (65 men) were congenital ventricular diverticula. One hundred patients were detected by echocardiography during medical examination, 34 patients combined with other cardiac anomalies, 4 of which with extracardiac structures. There were 8 patients with ventricular arrhythmia, 8 patients with thrombosis, 2 patients died of cardiac rupture, 4 patients died of sudden death, surgical operation was performed in 46 patients and 3 patients received ablation procedure. All patient did not receive implantable cardioverter defibrillator (ICD) implantation. Conclusions Congenital ventricular aneurysm or diverticulum is a rare cardiac malformation. Most congenital left ventricular aneurysms and diverticula are asymptomatic and detected by echocardiography. Congenital ventricular aneurysm or diverticulum may cause ventricular tachycardia, ventricular wall rupture, systemic embolization or sudden death, which had to be treated individually. Heart aneurysm; Diverticulum; Disease attributes 10. 3760/cma j. issn. 0253-3758. 2011.09. 020 基金项目:江苏高校优势学科建设工程资助项目;南京医科大学 第一附属医院创新团队工程项目(IRT-004) 210029 南京医科大学第一附属医院心脏科 万方数据 结 果 万方数据 有研究显示 万方数据 @@[1] Ohlow MA. Congenital left ventricular aneurysms and diverticula: definition, pathophysiology, clinical relevance and treatment Cardiology ,2006,106:63-72. @@[2] Tsojimoto H, Takeshita S, Kawamura Y,et al. Isolated congenital left ventricular diverticulum with perinatal dysrhythmia: a case report and review of the literature. Pediatr Cardio1,2000,21 : 175- 179. @@[ 3 ] Hédoire F, Dorey H, Morelle JF, et al. Idiopathic left ventricular aneurysm presenting with ventricular tachycaulia. A case report. Arch Mal Coeur Vaiss,2000,93:1560-1564. @@[4] Singh A, Katkov H, Zavoral JH, et al. Congenital aneurysms of the left ventricle. Am Heart J,1980,99:25-32. @@[ 5 ] Rajasinghe HA, Lorenz HP, Longaker MT, et al. Arrhythmogenic ventricular aneurysms unrelated to coronary artery disease. Ann Thorac Surg, 1995,59 : 1079-1084. @@[6] Ouyang F, Antz M, Deger FT, et al. An underrecognized subepicardial reentrant ventricular tachycardia attributable to left ventricular aneurysm in patients with normal coronary arteriograms. Circulation ,2003,107:2702-2709. @@[7]翟颖莉,王铁瑞,徐伟,等.左心室憩室伴罕见特殊心电图改变 一例.中华心血管病杂志,2005,33:571-572. @@[8] Huang G, Pavan D, Antonini-Canterin F, et al. Asymptomatic isolated congenital left ventricular muscular diverticulum in an adult: a case report. Echocardiography, 2003, 20: 191-195. @@[ 9 ] Skapinker S. Diverticulum of the left ventricle of the heart; review of the literature and report of a successful removal of the diverticulum. AMA Arch Surg, 1951,63:629-634. @@[ 10 ] Mady C. Left ventricular diverticulum: analysis of two operated cases and review of the literature. Angiology, 1982,33: 280-286. @@[11]陈红武,陈明龙,杨兵,等.三维电解剖标测指导下射频消融治 疗室性心动过速伴特发性左心室室壁瘤一例.中华心血管病 杂志,2010,38:468-469. @@[12] Ogawa M, Miyoshi K, Morito N, et al. Successful catheter ablation of ventricular tachycardia originating from the idiopathic saccular apical left ventricular aneurysm. Int J Cardiol,2004,93 : 343-346. @@[13] Pitol R, Cardoso Cde O, Cardoso CR, et al. Congenital ventricular diverticulum associated with ventricular tachycardia. Arq Bras Cardiol ,2005 ,84 :173-175. @@[ 14 ] Kawata H, Kishimoto H, Ueno T, et al. Repair of left ventricular diverticulum with ventricular bigeminy in an infant. Ann Thorac Surg, 1998,66:1421-1423. @@[15] Parthenakis FI, Kochiadakis GE, Patrianakos AP, et al. Peripheral arterial embolism due to a left ventricular diveticulum in a young adult. Chest,2005,127: 1452-1454. @@[16] Takahashi M, Nishikimi T, Tamano K, et al. Multiple left ventricular diverticula detected by second harmonic imaging: a case report. Circ J, 2003,67 : 972-974. @@[ 17] Okereke OU, Cooley DA, Frazier OH. Congenital diverticulum of the ventricle. J Thorac Cardiovasc Surg,1986,91 : 208-214. 2011-03-01 万方数据
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