Clinical characteristics of congenital ventricular aneurysm and diverticula in inland China
10.3760/cma.j.issn.0253-3758.2011.09.020
- VernacularTitle:中国内地先天性室壁瘤和憩室临床特征文献的统计分析
- Author:
Hong-Wu CHEN
1
;
Ming-Long CHEN
;
Bing YANG
;
Wei-Zhu JU
;
Feng-Xiang ZHANG
;
Xiao-Feng HOU
;
Chun CHEN
;
Qi-Jun SHAN
;
Jian-Gang ZOU
;
Dong-Jie XU
Author Information
1. 南京医科大学附属第一医院
- Keywords:
Heart aneurysm;
Diverticulum;
Disease attributes
- From:
Chinese Journal of Cardiology
2011;39(9):865-868
- CountryChina
- Language:Chinese
-
Abstract:
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, 34patients combined with other cardiac anomalies, 4 of which with extracardiac structures. There were 8patients with ventricular arrhythmia, 8 patients with thrombosis, 2 patients died of cardiac rupture, 4patients 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.
