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局限性心肌梗死后左心室假性动脉瘤及破裂

Left ventricular pseudoaneurysm and rupture after limited myocardial infarction.

作者信息

MacDonald Simon T, Mitchell Andrew R J, Timperley Jonathan, Forfar J Colin

机构信息

Department of Cardiology, John Radcliffe Hospital, Oxford, United Kingdom.

出版信息

J Am Soc Echocardiogr. 2005 Sep;18(9):980. doi: 10.1016/j.echo.2004.10.010.

Abstract

A 50-year-old man had a large lateral left ventricular wall pseudoaneurysm with rupture after a limited myocardial infarction. This was diagnosed by the combination of flow in and out of the aneurysm and pulsatile flow in the pericardial cavity using color flow and continuous wave Doppler ultrasound. This report describes the case management, the use of echocardiography in this setting, and the implications of pseudoaneurysm formation.

摘要

一名50岁男性在发生局限性心肌梗死后出现左心室侧壁巨大假性动脉瘤并破裂。通过彩色血流和连续波多普勒超声检查发现动脉瘤内有血流进出以及心包腔内有搏动性血流,从而确诊。本报告描述了该病例的处理、在此情况下超声心动图的应用以及假性动脉瘤形成的影响。

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