Rekik Sofiene, Trabelsi Imen, Charfeddine Hanene, Krichene Salma, Hentati Mourad, Kammoun Samir
Cadiology Department, University Hospital Hedi Chaker, Sfax, Tunisia.
Echocardiography. 2008 Nov;25(10):1124-6.
Left ventricular pseudoaneurysms are an uncommon and frightening complication after mitral valve replacement. We report the case of a 54-year old woman, having undergone a mitral valve replacement with uneventful postoperative course and normal echocardiographic predischarge control, who was readmitted to hospital, only 16 days later, for rapidly progressing dyspnea, and finally echocardiographically diagnosed to have a massive 8-cm long pseudoaneurysm communicating with the left ventricle through a narrow communication. The patient was proposed for emergency surgery but unfortunately died preoperatively.
左心室假性动脉瘤是二尖瓣置换术后一种罕见且可怕的并发症。我们报告一例54岁女性病例，该患者接受二尖瓣置换术后恢复顺利，出院前超声心动图检查正常，但仅16天后因迅速进展的呼吸困难再次入院，最终经超声心动图诊断为巨大的8厘米长假性动脉瘤，通过狭窄通道与左心室相通。该患者被建议进行急诊手术，但不幸在术前死亡。
