Shabalkin B V, Abugov A M, Levina G A
Kardiologiia. 1975 May;15(5):57-60.
Examination covered 56 patients with chronic post-infarction aneurysm of the heart. It included electro- and phonocariography, selective coronarography and ventriculography of the left heart. In the majority of these patients the affection started with myocardial infarction which gave rise to the development of the cardiac aneurysm. Coronarography disclosed a lesion of the left anterior descending artery in the form of an extended occlusion. Collateral coronary circulation was indefinable. Ventriculography of the left heart disclosed an aneurysm whose localization accorded with electrocardiographic indications. In the development of aneurysms of the heart the authors attach great importance to presence of collateral circulation at the instant of an acute lesion of the coronary artery.
对56例慢性心肌梗死后心脏动脉瘤患者进行了检查。检查项目包括心电图和心音图检查、选择性冠状动脉造影以及左心心室造影。在这些患者中，大多数病情始于心肌梗死，继而发展为心脏动脉瘤。冠状动脉造影显示左前降支动脉有一处呈广泛性闭塞的病变。冠状动脉侧支循环难以确定。左心心室造影显示有一个动脉瘤，其定位与心电图所示相符。在心脏动脉瘤的发展过程中，作者非常重视冠状动脉急性病变时侧支循环的存在情况。
