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心肌梗死后巨大左心室假性动脉瘤伴严重心力衰竭。

Post-myocardial infarction giant left ventricular pseudoaneurysm presenting with severe heart failure.

作者信息

Vijayvergiya Rajesh, Kumar Alok, Rana Sandeep S, Singh Harkant, Puri Goverdhan D, Singhal Manphool

机构信息

Rajesh Vijayvergiya, Alok Kumar, Department of Cardiology, Advanced Cardiac Centre, Post Graduate Institute of Medical Education and Research, Chandigarh 160 012, India.

出版信息

World J Cardiol. 2012 Nov 26;4(11):309-11. doi: 10.4330/wjc.v4.i11.309.

DOI:10.4330/wjc.v4.i11.309
PMID:23185652
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3505850/
Abstract

Left ventricle (LV) pseudoaneurysm is a late mechanical complication of myocardial infarction. A giant LV pseudoaneurysm is a rare presentation. We report a case of giant LV pseudoaneurysm in a post-MI patient who presented with gross congestive heart failure. The patient had a successful surgical repair of the aneurysm and had a favorable 3-mo outcome. The imaging modality and surgical treatment of the pseudoaneurysm are discussed.

摘要

左心室假性动脉瘤是心肌梗死的一种晚期机械性并发症。巨大左心室假性动脉瘤是一种罕见的表现形式。我们报告一例心肌梗死后出现严重充血性心力衰竭的巨大左心室假性动脉瘤患者。该患者成功接受了动脉瘤手术修复，术后3个月预后良好。本文讨论了假性动脉瘤的影像学检查方法及手术治疗。

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本文引用的文献

1
Giant left ventricular pseudoaneurysm presenting with hemoptysis.以咯血为表现的巨大左心室假性动脉瘤
World J Cardiol. 2012 Jun 26;4(6):218-20. doi: 10.4330/wjc.v4.i6.218.
2
Giant post-infarction pseudoaneurysm of the left ventricle manifesting as severe heart failure.左心室梗死后巨大假性动脉瘤导致严重心力衰竭。
Kardiol Pol. 2012;70(1):85-7.
3
Surgical treatment of a giant postero-inferior left ventricular pseudoaneurysm causing severe mitral insufficiency and congestive heart failure.巨大左心室后下假性动脉瘤致严重二尖瓣关闭不全及充血性心力衰竭的外科治疗
Ann Thorac Cardiovasc Surg. 2012;18(2):151-5. doi: 10.5761/atcs.cr.11.01674. Epub 2011 Oct 17.
4
Multimodality cardiac imaging of a giant left ventricular pseudoaneurysm.巨大左心室假性动脉瘤的多模态心脏成像
Eur J Echocardiogr. 2011 Jul;12(7):550. doi: 10.1093/ejechocard/jer053. Epub 2011 May 5.
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Commotio cordis and ventricular pseudoaneurysm.心脏震荡和心室假性动脉瘤。
Can J Cardiol. 2009 Apr;25(4):237-8. doi: 10.1016/s0828-282x(09)70075-3.
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Left ventricular pseudoaneurysm with infective pericarditis: a rare cause of intractable hemoptysis.
Angiology. 2008 Aug-Sep;59(4):507-9. doi: 10.1177/0003319707323289.
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Silent and huge left ventricular pseudoaneurysm with left atrial compression: dedicated spatial resolution and geometry by 3-dimensional echocardiography.伴有左心房受压的无症状巨大左心室假性动脉瘤：三维超声心动图的专用空间分辨率和几何学
J Am Soc Echocardiogr. 2007 Jun;20(6):772.e5-9. doi: 10.1016/j.echo.2006.12.007.
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Long term outcome of patients with postinfarction left ventricular pseudoaneurysm.心肌梗死后左心室假性动脉瘤患者的长期预后
Heart. 2003 Oct;89(10):1144-6. doi: 10.1136/heart.89.10.1144.
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Left ventricular pseudoaneurysm.左心室假性动脉瘤。
J Am Coll Cardiol. 1998 Sep;32(3):557-61. doi: 10.1016/s0735-1097(98)00290-3.