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心脏破裂的罕见形式：封闭性亚急性左心室游离壁破裂，发展为心肌内夹层血肿和假性动脉瘤形成——病例报告及文献复习

Unusual form of cardiac rupture: sealed subacute left ventricular free wall rupture, evolving to intramyocardial dissecting hematoma and to pseudoaneurysm formation--a case report and review of the literature.

作者信息

Harpaz D, Kriwisky M, Cohen A J, Medalion B, Rozenman Y

机构信息

Heart Institute and the Department of Cardiovascular Surgery, E. Wolfson Medical Center, Holon; and the Sackler School of Medicine, Tel Aviv University; Israel.

出版信息

J Am Soc Echocardiogr. 2001 Mar;14(3):219-27. doi: 10.1067/mje.2001.110780.

DOI:10.1067/mje.2001.110780
PMID:11241018
Abstract

This report describes an unusual course of rupture of the left ventricular free wall, complicating acute myocardial infarction. Spontaneous sealing of the rupture site enabled close echocardiographic follow-up, during which we monitored the development of intramyocardial dissecting hematoma and, finally, development of a full tear in the left ventricular free wall, leading to the formation of a pseudoaneurysm. The pathophysiology, management, and diagnostic criteria of these processes are being revised.

摘要

本报告描述了左心室游离壁破裂的一种不寻常病程，它使急性心肌梗死复杂化。破裂部位的自发封闭使得能够进行密切的超声心动图随访，在此期间我们监测了心肌内夹层血肿的发展，最终监测到左心室游离壁完全撕裂，导致假性动脉瘤形成。目前正在修订这些过程的病理生理学、处理方法和诊断标准。

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