左心室假性动脉瘤患者的异常症状及文献综述
Unusual symptom in patient with pseudoaneurysm of the left ventricle and review of the literature.
作者信息
Gangahar D M, Carveth S W, Reese H E, Buchman R J
机构信息
Bryan Memorial Hospital, 4848 Sumner Street, Lincoln, Nebraska 68506, USA.
出版信息
Tex Heart Inst J. 1982 Sep;9(3):377-82.
A case of pseudoaneurysm developing 2 years after left ventricular aneurysmectomy and single coronary artery bypass graft is reported. A hypothesis that pseudoaneurysms developing after transmyocardial incision begin in surgery or shortly thereafter is postulated. Chest X-ray films as a preliminary test to direct attention to the diagnosis are recommended. An aggressive surgical approach is suggested. To our knowledge, this is the sixth known reported case in the literature with hemoptysis as the chief symptomatic feature.
报道了1例左心室动脉瘤切除术后2年并发假性动脉瘤并接受单支冠状动脉搭桥术的病例。提出了一个假说，即经心肌切口后发生的假性动脉瘤始于手术期间或术后不久。建议将胸部X光片作为初步检查，以引起对该诊断的关注。建议采取积极的手术方法。据我们所知，这是文献中第六例以咯血为主要症状特征的报道病例。
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