1例成人冠状动脉间隔支动脉瘤超声表现
Chinese Journal of Medical Imaging Technology（2023）
Abstract
患者男,58岁,胸闷不适1月余;当地医院发现心肌内囊性结构30年,未明确诊断;既往无结缔组织病史,否认冠心病、高血压病史、手术史及外伤史.查体:心界无扩大,心率62次/分,律齐,未闻及明显病理性杂音.心电图:窦性心律,未见明显异常.二维超声心动图:室间隔基底部肌壁间见24 mm×21 mm×36 mm规则无回声区,内透声可,壁薄,囊壁规则(图1A),似经直径2.0 mm管状结构与前降支相通,CDFI可见束状五彩镶嵌血流于囊壁左侧进入囊性结构内(图1B).
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