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[Clinical characteristics of congenital ventricular aneurysm and diverticula in inland China].

Authors :
Chen HW
Chen ML
Yang B
Ju WZ
Zhang FX
Hou XF
Chen C
Shan QJ
Zou JG
Xu DJ
Cao KJ
Source :
Zhonghua xin xue guan bing za zhi [Zhonghua Xin Xue Guan Bing Za Zhi] 2011 Sep; Vol. 39 (9), pp. 865-8.
Publication Year :
2011

Abstract

Objective: To summarize the clinical characteristics of congenital ventricular aneurysm and diverticula in inland China.<br />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.<br />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.<br />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.

Details

Language :
Chinese
ISSN :
0253-3758
Volume :
39
Issue :
9
Database :
MEDLINE
Journal :
Zhonghua xin xue guan bing za zhi
Publication Type :
Academic Journal
Accession number :
22321239