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[心肌梗死后左心室假性动脉瘤]

[Postinfarction left ventricular pseudoaneurysm].

作者信息

Stańczak Paweł, Janion-Sadowska Agnieszka, Sadowski Marcin, Sadowski Jerzy, Janion Marianna

机构信息

Swietokrzyskie Centrum Kardiologii w Kielcach.

出版信息

Pol Arch Med Wewn. 2005 Jan;113(1):68-72.

Abstract

Left ventricular pseudoaneurysm is a rare complication of heart rupture as a result of acute myocardial infarction, tumour infiltration or infective pericarditis. This pathology is often diagnosed accidentally because of non-specific clinical manifestations such as congestive heart failure or no symptoms at all. Diagnosis of pseudoaneurysm should result in an urgent surgical treatment as the risk of sudden death due to aneurysm rupture is high. In this report we present a patient who underwent successful surgical treatment of left ventricular pseudoaneurysm as a complication of myocardial infarction.

摘要

左心室假性动脉瘤是急性心肌梗死、肿瘤浸润或感染性心包炎导致心脏破裂的一种罕见并发症。由于其临床表现不具特异性,如充血性心力衰竭或毫无症状,这种病症常常是在偶然情况下被诊断出来的。由于假性动脉瘤破裂导致猝死的风险很高,因此一旦诊断为假性动脉瘤就应立即进行手术治疗。在本报告中,我们介绍了一位因心肌梗死并发症接受左心室假性动脉瘤成功手术治疗的患者。

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