Vassal T, Porte J M, Archambaud F, Hebert J L, Auzépy P, Richard C
Service de réanimation médicale, Hôpital de Bicêtre, Université Paris-Sud, Le Kremlin-Bicêtre.
Arch Mal Coeur Vaiss. 1991 Oct;84(10):1479-81.
The authors report the fortuitous diagnosis of a true and a false left ventricular aneurysm in a 77 year old man with severe ischaemic heart disease and calcific aortic stenosis, admitted for cardiogenic shock. The association of these two forms of aneurysm is very rare. Clinical and paraclinical diagnosis is difficult. Conventional left ventriculography is the investigation of reference but the diagnosis has been facilitated by Technetium 99 cardiac scintigraphy and color Doppler echocardiography. Surgery may be considered in cases of true aneurysm especially in patients with left ventricular failure, but the indication is formal in cases of false aneurysm.
作者报告了一名77岁患有严重缺血性心脏病和钙化性主动脉瓣狭窄的男性患者，因心源性休克入院，偶然诊断出一个真性和一个假性左心室动脉瘤。这两种动脉瘤形式同时存在非常罕见。临床和辅助检查诊断困难。传统的左心室造影是参考检查方法，但锝99心肌闪烁显像和彩色多普勒超声心动图有助于诊断。对于真性动脉瘤患者，尤其是伴有左心室衰竭的患者，可考虑手术治疗，但假性动脉瘤则需明确手术指征。
