Guéret P, Baudet M, Rigaud M, Gandjbakhch I, Bonte J, Bardet J, Bourdarias J P
Arch Mal Coeur Vaiss. 1978 Dec;71(12):1411-6.
Ventricular aneurysm formation in the 3 months following transmural myocardial infarction is rare but may cause serious complications. Cardiac failure and/or ventricular arrhythmias resistant to medical treatment are indications for ventricular resection. The operative mortality is high in this group of patients. 8 patients with ventricular aneurysms of average volume (124 +/- 117 ml/m2) and very impaired left ventricular function (EF : 21 +/- 10%, akinesia : 53 +/- 10%) were operated on with two early deaths and one death in the 7th post operative month. The long term clinical result was satisfactory in the surviving patients, and confirmed by haemodynamic investigation in two of them. The benefical effects of intra-aortic balloon pumping, used preoperatively in all patients, and associated myocardial revascularisation procedures performed in some of them are discussed.
透壁性心肌梗死后3个月内形成心室壁瘤虽罕见，但可能导致严重并发症。心力衰竭和/或药物治疗无效的室性心律失常是心室切除术的指征。这类患者的手术死亡率很高。8例平均容积为（124±117ml/m²）且左心室功能严重受损（射血分数：21±10%，运动不能：53±10%）的心室壁瘤患者接受了手术，术后早期死亡2例，术后第7个月死亡1例。存活患者的长期临床结果令人满意，其中2例经血流动力学检查得到证实。讨论了所有患者术前使用主动脉内球囊反搏的有益效果，以及部分患者实施的相关心肌血运重建术。
