左心室假性动脉瘤并发下壁心肌梗死：一例报告
Left ventricular pseudoaneurysm complicating inferior myocardial infarction: a case report.
作者信息
Erdim Refik, Yildirimturk Ozlem, Polat Bulent, Aytekin Saide, Demiroglu Cemsid, Aytekin Vedat
出版信息
Int J Angiol. 2011 Jun;20(2):107-10. doi: 10.1055/s-0031-1279681.
Abstract
Acquired pseudoaneurysm of the left ventricle is a very rare disorder and mostly occurs after large transmural myocardial infarction (MI) with peak creatine phosphokinase-MB levels greater than 150 IU/mL. Patients developing left ventricular (LV) pseudoaneurysm usually present with angina or heart failure symptoms. Although different imaging modalities exist, coronary angiography is the gold standard for diagnosis. Surgery is the treatment of choice for LV pseudoaneurysms detected in the first months after MI. Here we report the case of a 74-year-old woman who presented with a relatively small inferior MI due to right coronary artery occlusion and complicated by LV pseudoaneurysm.
摘要
获得性左心室假性动脉瘤是一种非常罕见的疾病，大多发生在透壁性心肌梗死（MI）后，肌酸磷酸激酶同工酶-MB峰值水平大于150 IU/mL。发生左心室（LV）假性动脉瘤的患者通常表现为心绞痛或心力衰竭症状。尽管有不同的成像方式，但冠状动脉造影是诊断的金标准。手术是MI后最初几个月检测到的LV假性动脉瘤的首选治疗方法。在此，我们报告一例74岁女性患者，因右冠状动脉闭塞出现相对较小的下壁MI，并并发LV假性动脉瘤。
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