Golbasi I, Atahan E, Turkay C, Talay S, Tuncay D, Mete A, Bayezid O
Department of Cardiovascular Surgery, Akdeniz University School of Medicine, Antalya, Turkey.
Minerva Chir. 2007 Jun;62(3):173-7.
We evauated the outcome of patients with left ventricular pseudoaneurysms, focusing on those treated surgically.
Between June 1990 and March 2007, 7 patients underwent surgery because of left ventricular pseudoaneursym following myocardial infarction, at our institution. The median time interval between myocardial infarction and the diagnosis of left ventricular psedoaneursym was 2.6 months (range: 15 days to 8 months). The aneursym was resected and the defect was closed with a Teflon patch or direct sutures.
The location of the pseudoaneursym was posterior in 3 patients, inferolateral in 3 patients and anterolateral in 1 patient. The aneursym was resected and the defect was closed with a Teflon patch in 6 patients. In 1 patient with chronic pseudoaneurysm, the defect was closed with direct sutures reinforced with Teflon felt. In addition, 5 patients underwent coronary artery bypass grafting. The patients have been followed-up for a mean period of 45 months (range: 24 to 109 months).
There was no intraoperative death. However, 2 patients died due to multiple organ failure, one 17 days and the other 1 month after the surgical operation. There was 1 late death due to the cancer. Currently, 1 patient is free of any cardiac symptoms, 2 patients have New York Heart Association (NYHA) Class II heart failure, and 1 patient with moderate mitral regurgitation is in class III.
我们评估了左心室假性动脉瘤患者的治疗结果，重点关注接受手术治疗的患者。
1990年6月至2007年3月期间，我们机构有7例患者因心肌梗死后左心室假性动脉瘤接受了手术。心肌梗死与左心室假性动脉瘤诊断之间的中位时间间隔为2.6个月（范围：15天至8个月）。切除动脉瘤，并用特氟龙补片或直接缝合关闭缺损。
假性动脉瘤的位置，3例位于后壁，3例位于下外侧，1例位于前外侧。6例患者切除动脉瘤并用特氟龙补片关闭缺损。1例慢性假性动脉瘤患者，用特氟龙毡加固的直接缝合关闭缺损。此外，5例患者接受了冠状动脉搭桥术。患者平均随访45个月（范围：24至109个月）。
术中无死亡。然而，2例患者因多器官功能衰竭死亡，分别在手术后17天和1个月。有1例因癌症晚期死亡。目前，1例患者无任何心脏症状，2例患者有纽约心脏协会（NYHA）II级心力衰竭，1例中度二尖瓣反流患者为III级。
