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[巨大左心室心肌梗死后假性动脉瘤——一例超声心动图病例报告]

[Giant left ventricular postinfarction pseudoaneurysm - an echocardiographic case report].

作者信息

Jedliński Ireneusz, Duszyńska Małgorzata, Wojna Jan, Angerer Dariusz, Poprawski Kajetan

机构信息

Oddział Kardiologiczny, Szpital im. J. Strusia, ul. Szkolna 8/12, 61-833 Poznań.

出版信息

Kardiol Pol. 2008 Dec;66(12):1339-41.

PMID:19169983
Abstract

We present a rare case of a 71-year-old man who had myocardial infarction 9 years ago. Transthoracic and transesophageal echocardiography revealed presence of a large pseudoaneurysm of the left ventricular (LV) apex and anterior wall with thrombus. The diagnosis of LV pseudoaneurysm was confirmed by electrocardiography - gated multidetector computed tomography. The patient did not consent for surgery and remained on pharmacological treatment.

摘要

我们报告一例罕见病例，患者为一名71岁男性，9年前曾发生心肌梗死。经胸和经食管超声心动图显示左心室（LV）心尖和前壁存在一个巨大的假性动脉瘤并伴有血栓。心电图门控多层螺旋计算机断层扫描证实了左心室假性动脉瘤的诊断。患者不同意手术，继续接受药物治疗。

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