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英文誌(2004-)

Journal of Medical Ultrasonics

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1982 - Vol.9

Vol.9 No.03

Case Report(症例報告)

(0237 - 0242)

先天性左心室瘤の超音波像

Echocardiographic Finding of the Left Ventricular Aneurysm in Childhood

小川 實1, 野瀬 宰1, 薮内 百治1, 広瀬 一2, 大西 健二2, 松田 暉2, 島崎 靖久2, 中谷 武嗣2, 川島 康生2, 北村 惣一郎3

Minoru OGAWA1, Osamu NOSE1, Hyakuji YABUUCHI1, Hajime HIROSE2, Kenji ONISHI2, Hikaru MATSUDA2, Yasuhisa SHIMAZAKI2, Takeshi NAKATANI2, Yasunaru KAWASHIMA2, Soichiro KITAMURA3

1大阪大学医学部小児科, 2大阪大学医学部第一外科, 3県立奈良医大第3外科

1Department of Pediatrics, Osaka University School of Medicine, 2First Department of Surgery, Osaka University School of Medicine, 33rd Department of Surgery, Nara University School of Medicine

キーワード : Congenital left ventricular aneurysm, Echocardiography, Cardiac catheterization and angiocardiography

Echocardiographic findings of three children with a left ventricular aneurysm were reported. We diagnosed it by echocardiographic examination. The diagnosis was established with cardiac catheterization and angiocardiography. In every case, the left ventricular aneurysm was large and existed at the postero-lateral portion of left ventricle. The M-mode scan taken from the aorta to the left ventricular apex revealed an echo free space behind the papillary muscle, and also a decrease in left ventricular posterior wall excursion. Two-dimensional echocardiograms of the long axis of left ventricle and the apical four-chamber view exhibited aneurysm at the posterior portion of left ventricle in each case. Echocardiography of the short axis of left ventricle was also useful in the assessment of the dimensional relation between the aneurysm and true left ventricle.
We conclude from this study that echocardiographic examinations can clarify the details of left ventricular aneurysm in children.