Baslaim Ghassan M, Kouatli Amjad A, Mamoun Irfan A, Galal Mohammed O
Department of Cardiovascular Diseases and Radiology, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.
J Card Surg. 2005 Sep-Oct;20(5):497-500. doi: 10.1111/j.1540-8191.2005.00104.x.
Cardiac pseudoaneurysm is a contained rupture of the myocardium that can occur after cardiac surgery, chest trauma, and endocarditis. The wall of the pseudoaneurysm consists of fibrous tissue and lacks the structural elements found in a normal cardiac wall, and it is contained by the pericardial adhesions or the epicardial wall. Early surgery is recommended even for asymptomatic patients due to the propensity for rupture and fatal outcome. We report our experience with the surgical approach of a child with a cardiac pseudoaneurysm who had undergone a biventricular repair of a double outlet right ventricle with non-committed ventricular septal defect in the form of intraventricular tunneling.
心脏假性动脉瘤是心肌的局限性破裂，可发生于心脏手术后、胸部创伤和心内膜炎后。假性动脉瘤壁由纤维组织构成，缺乏正常心脏壁中的结构成分，它由心包粘连或心外膜壁所包裹。由于有破裂倾向及致命后果，即使是无症状患者也建议早期手术。我们报告了一名患有心脏假性动脉瘤儿童的手术治疗经验，该患儿曾接受右心室双出口合并非限制性室间隔缺损的双心室修复术，采用心室内隧道的形式。
