Ikeda Nobutaka, Hara Hisao, Nakajima Rintaro, Shiba Masanori, Wada Masamichi, Tsuji Takahiro, Iijima Raisuke, Yoshitama Takashi, Tsunoda Taro, Nakamura Masato, Suzuki Makoto, Hase Hiroki, Sugi Kaoru
Division of Cardiovascular Medicine, Toho University Medical Center, Ohashi Hospital, Tokyo, Japan.
Heart Vessels. 2006 Jan;21(1):66-7. doi: 10.1007/s00380-005-0846-4.
We present the case of a 70-year-old woman who was admitted to our hospital with heart failure due to a giant left ventricular aneurysm involving the apex and severe mitral regurgitation. Three months before the hospitalization, percutaneous coronary intervention was performed for severe stenosis of the left main trunk. During the procedure, there were no abnormalities of distal coronary flow due to problems like embolization, and repeat coronary angiography, performed after stabilization of heart failure, showed no new significant stenosis. We diagnosed her condition as a subepicardial aneurysm by pathological examination of the resected specimen.
我们报告了一例70岁女性患者，因巨大的累及心尖部的左心室动脉瘤和严重二尖瓣反流导致心力衰竭入住我院。住院前三个月，因左主干严重狭窄接受了经皮冠状动脉介入治疗。术中，未因栓塞等问题出现远端冠状动脉血流异常，心力衰竭稳定后进行的重复冠状动脉造影显示无新的明显狭窄。通过对切除标本的病理检查，我们将她的病情诊断为心外膜下动脉瘤。
