Fiorilli R, Tomasco B, Tesler U F
Department of Cardiology, San Carlo Hospital, Potenza, Italy.
Tex Heart Inst J. 1999;26(4):309-11.
Pseudoaneurysms of the left ventricle are a very unusual sequela to mitral valve endocarditis. We report the case of a 62-year-old woman who developed postendocarditis submitral left-ventricular pseudoaneurysm, which was diagnosed by means of transesophageal echocardiography. The mitral valve was replaced with a prosthesis, and the mouth of the pseudoaneurysm was closed with a patch. We discuss the possible mechanism of development of this unusual sequela to mitral valve endocarditis and emphasize the diagnostic value of transesophageal echocardiography.
左心室假性动脉瘤是二尖瓣心内膜炎一种非常罕见的后遗症。我们报告一例62岁女性,其发生心内膜炎后二尖瓣下左心室假性动脉瘤,经食管超声心动图诊断。二尖瓣用人工瓣膜置换,假性动脉瘤开口用补片封闭。我们讨论了二尖瓣心内膜炎这种罕见后遗症可能的发生机制,并强调经食管超声心动图的诊断价值。