急性心肌梗死后左心室假性动脉瘤的进展

Kim Mi-Na, Park Seong-Mi, Kim Sun-Won, Lee Kwang-No, Kim Jung-Sun, Kang Eun-Joo, Ahn Cheol-Min, Shim Wan-Joo

Division of Cardiology, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.

J Cardiovasc Ultrasound. 2010 Dec;18(4):161-4. doi: 10.4250/jcu.2010.18.4.161. Epub 2010 Dec 31.

Left ventricular (LV) pseudoaneurysms rarely occur, but are detected more often with the development of new diagnostic tools. Since LV pseudoaneurysms are life-threatening, early surgical intervention is recommended. This report describes an 87-year-old woman with heart failure and a large LV pseudoaneurysm which progressed from a small LV pseudoaneurysm after an acute myocardial infarction over a 1-year period.

左心室假性动脉瘤很少见，但随着新诊断工具的发展，其检出率更高。由于左心室假性动脉瘤会危及生命，建议早期进行手术干预。本报告描述了一名87岁患有心力衰竭且有一个大的左心室假性动脉瘤的女性患者，该动脉瘤是在急性心肌梗死后1年期间从小的左心室假性动脉瘤发展而来。