Isolated Congenital Ventricular Septal Aneurysm in an Adult – a Case Report

先天性心室中隔瘤：一成人病例報告

10.6452/KJMS.200202.0091

梁馨月(Hsin-Yueh Liang)；李智雄(Chee-Siong Lee)；林慶正(Ching-Cheng Lin)；陳英富(Ying-Fu Chen)；黃耀星(Yeo-Shin Hwang)；賴文德(Wen-Ter Lai)

Ventricular septal aneurysm ； mitral valve prolapse

The Kaohsiung Journal of Medical Sciences

18卷2期（2002 / 02 / 01）

91 - 94

英文

未合併心室中隔缺損之先天性心室中隔瘤臨床上十分少見，本文報告一成人病例之臨床表徵，並作文獻回顧。一五十四歲女性因陣發性心悸，胸痛多年而就醫，理學檢查在心尖處可聽到收縮期之分裂及第二度心縮期雜音。胸前心臟超音波及經食道心臟超音波顯示二尖辦脫垂伴輕度二尖瓣逆流，同時意外發現一心室中隔入右心室但未造成明顯阻塞，亦未發現心室中隔缺損。心導管檢查及左右心室造影進一步確定先天性心室中隔瘤之診斷。由於病人並沒有因心室中隔瘤而造成之嚴重症狀，我們建議病人接受追蹤觀察。

Congential ventricular septal aneurysm without ventricular septal defect is a very rare condition. We describe the clinical features of an adult case and the literature was reviewed. A 54-year-old woman experienced intermittent palpitation with rapid heart beating sensation for several years. The duration was only several seconds. There was neither congestive heart failure nor syncope history. Physical examination revealed mid-systolic click with grade II/VI systolic murmur at apical area. Echocardiography disclosed mitral valve prolapse with mild mitral regurgitation. A ventricular septal aneurysm bulging into right ventricle was found incidentally. Transesophageal echocardiographic and cardiac angiographic pictures of ventricular septal aneurysm were demonstrated. Since the patient was relatively asymptomatic, no surgical intervention was advised.