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急性心肌梗死所致室间隔破裂经心室切开修补术后的心外膜下动脉瘤

Subepicardial aneurysm following ventriculotomy closure of ventricular septal rupture due to acute myocardial infarction.

作者信息

Minami Hiroya, Mukohara Nobuhiko, Hidefumi Obo, Yoshida Masato, Matsuhisa Hironori, Shida Tsutomu

机构信息

Department of Cardiovascular Surgery, Himeji Cardiovascular Center, 520 Saisho-Ko, Himeji, Hyogo 670-0981, Japan.

出版信息

Jpn J Thorac Cardiovasc Surg. 2004 Jan;52(1):45-7. doi: 10.1007/s11748-004-0062-7.

DOI:10.1007/s11748-004-0062-7
PMID:14760993
Abstract

We report an unusual case of subepicardial aneurysm (SEA) of the left ventricle. An 82-year-old man had undergone patch closure of a ventricular septal rupture due to anterior acute myocardial infarction. A postoperative left ventriculogram showed the presence of contrast medium outside the left ventricle, and urgent surgery was performed. The lesion was diagnosed as SEA, and was repaired before rupture.

摘要

我们报告一例罕见的左心室心外膜下动脉瘤(SEA)病例。一名82岁男性因前壁急性心肌梗死接受了室间隔破裂修补术。术后左心室造影显示左心室外部存在造影剂,遂紧急进行手术。病变被诊断为SEA,并在破裂前进行了修复。

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本文引用的文献

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Frequency of left ventricular free wall rupture complicating acute myocardial infarction since the advent of thrombolysis.自溶栓治疗出现以来急性心肌梗死并发左心室游离壁破裂的发生率
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False aneurysm and pseudo-false aneurysm of the left ventricle: etiology, pathology, diagnosis, and operative management.左心室假性动脉瘤和假性假性动脉瘤:病因、病理、诊断及手术治疗
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Subepicardial aneurysm of the left ventricle: report of a case and review of the literature.左心室心外膜下动脉瘤:一例报告并文献复习
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