Ito T, Miyata Y, Oomiya T, Takami Y, Ariki H, Ishihara T
Department of Cardiovascular Surgery, Nagoya Ekisaikai Hospital.
Kyobu Geka. 1992 Jun;45(6):541-3.
A 69-year-old man who had a post-infarction left ventricular aneurysm underwent surgical repair. Preoperative left ventriculography showed a small aneurysm, 3.0 x 3.0 x 2.5 cm in size, with a narrow neck at the inferior wall suggesting a typical "false" aneurysm. But intraoperative and pathological examination revealed that this was a "true" aneurysm which contains coronary artery and myocardial cells in its wall. Left ventriculography is not necessarily the definite standard to differentiate between true and false left ventricular aneurysm.
一名患有心肌梗死后左心室室壁瘤的69岁男性接受了手术修复。术前左心室造影显示一个小室壁瘤，大小为3.0×3.0×2.5厘米，下壁有狭窄颈部，提示典型的“假性”室壁瘤。但术中及病理检查显示这是一个“真性”室壁瘤，其壁内包含冠状动脉和心肌细胞。左心室造影不一定是区分真性和假性左心室室壁瘤的明确标准。
