Kim Hye-Seon, Kim Kyung-Hwan, Hwang Ho Young
Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Korea.
Korean J Thorac Cardiovasc Surg. 2011 Jun;44(3):247-9. doi: 10.5090/kjtcs.2011.44.3.247. Epub 2011 Jun 11.
We report a case of pseudo-pseudoaneurysm, which is a very rare complication of myocardial infarction. A 69-year-old man was admitted to our clinic with chest tightness and dyspnea. He had undergone aortic valve replacement with a pericardial bioprosthetic valve, ring mitral annuloplasty, and reconstruction of an aortic annular defect due to infective endocarditis with bovine pericardium 4 years prior. Echocardiography and computed tomography showed pericardial effusion and a 16-mm cavity at the anterolateral wall of the left ventricle. Magnetic resonance imaging suggested either pseudo-pseudoaneurysm or myocardial abscess. We successfully repaired the myocardial defect using a patch made from a vascular graft with pledgeted horizontal mattress sutures under cardiopulmonary bypass.
我们报告一例假性假性动脉瘤病例，这是心肌梗死一种非常罕见的并发症。一名69岁男性因胸闷和呼吸困难入住我院。4年前，他因感染性心内膜炎接受了主动脉瓣置换术，使用心包生物瓣膜、二尖瓣环成形术以及用牛心包修复主动脉瓣环缺损。超声心动图和计算机断层扫描显示心包积液以及左心室前外侧壁有一个16毫米的腔。磁共振成像提示为假性假性动脉瘤或心肌脓肿。我们在体外循环下使用带垫片的水平褥式缝线，用血管移植物制成的补片成功修复了心肌缺损。
