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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.

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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