二尖瓣置换术后及心肌梗死后巨大左心室假性动脉瘤
Giant left ventricular pseudoaneurysm after mitral valve replacement and myocardial infarction.
作者信息
Hirasawa Yujiro, Miyauchi Tadamasa, Sawamura Toshihiko, Takiya Hiroshi
机构信息
Division of Cardiovascular Surgery, Gifu Prefectural Gifu Hospital, Gifu City, Japan.
出版信息
Ann Thorac Surg. 2004 Nov;78(5):1823-5. doi: 10.1016/j.athoracsur.2003.07.018.
Left ventricular pseudoaneurysm is a rare but serious complication of mitral valve replacement or myocardial infarction. Prompt surgical correction is mandatory in cases of a large left ventricular pseudoaneurysm. A 70-year-old man had a giant left ventricular pseudoaneurysm after myocardial infarction and mitral valve replacement. The orifice of the pseudoaneurysm was closed with an e-polytetrafluoroethylene patch and the pseudoaneurysmal wall was almost resected.
左心室假性动脉瘤是二尖瓣置换术或心肌梗死罕见但严重的并发症。对于大型左心室假性动脉瘤病例，必须及时进行手术矫正。一名70岁男性在心肌梗死和二尖瓣置换术后出现巨大左心室假性动脉瘤。用e-聚四氟乙烯补片封闭假性动脉瘤的开口，并几乎切除了假性动脉瘤壁。
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