Dai R, Liu Y, Wang Z, Zhu J, Jiang S, Huang L
Cardiovascular Institute & Fu Wai Hospital, CAMS, Beijing.
Chin Med Sci J. 1991 Jun;6(2):100-4.
Cine-coronary arteriography in 186 consecutive patients with coronary heart disease demonstrated 109 cases with transmural infarctions, among which 59 revealed ventricular aneurysm (true 57, false 2). Twenty-eight cases underwent aneurysmectomy and 1 autopsy was performed. The anterolateral wall and/or apex of the left ventricle were involved in all 57 true cases of ventricular aneurysm. Single, double and triple vessel diseases of the coronary arteries were found in 29/57 (50.9%), 11/57 (19.3%) and 13/57 (22.8%), respectively. The anterior descending artery (LAD) was involved in 53 of the 57 cases (92.9%). In two cases with false ventricular aneurysm, the postero-lateral wall of the left ventricle was involved in one and the right ventricular wall in the other. Single vessel disease of the right coronary artery and the left circumflex branch was found respectively in the two cases. The problems of angiographic diagnosis and differential diagnosis of the true and false ventricular aneurysm are discussed.
对186例冠心病患者进行了冠状动脉造影，结果显示109例有透壁性梗死，其中59例显示有室壁瘤（真性57例，假性2例）。28例行室壁瘤切除术，1例进行了尸检。57例真性室壁瘤均累及左心室前侧壁和/或心尖。冠状动脉单支、双支和三支病变分别见于29/57（50.9%）、11/57（19.3%）和13/57（22.8%）。57例中有53例（92.9%）累及前降支（LAD）。2例假性室壁瘤中，1例累及左心室后侧壁，另1例累及右心室壁。2例分别发现右冠状动脉和左旋支单支病变。文中讨论了真性和假性室壁瘤的血管造影诊断及鉴别诊断问题。
