Milgalter E, Uretzky G, Levy P, Appelbaum A, Borman J B
Thorac Cardiovasc Surg. 1987 Feb;35(1):20-5. doi: 10.1055/s-2007-1020191.
Pseudoaneurysm of the left ventricle is relatively rare. Five patients aged 50-61 years with this disorder are the subject of this report. In 4, the pseudoaneurysm occurred following myocardial infarction and in one after aortic valve replacement. The symptoms appeared 3 months to 12 years after the primary event. Clinically, all were admitted with congestive heart failure combined with some degree of angina. In four patients the diagnosis was made by ventriculography and in one case by a multiple gated acquisition radionucleide scan (MUGA). All were operated on soon after diagnosis. In two patients direct suture closure of the orifice was carried out, while in the other three a synthetic patch was necessary to close the aperture. Four patients survived operation and are well two to 14 years following surgery. The literature on post infarction pseudoaneurysm is reviewed and analyzed. This study argues for early surgical treatment, affording relatively low postoperative mortality.
左心室假性动脉瘤相对少见。本文报道了5例年龄在50至61岁之间患有该疾病的患者。其中4例假性动脉瘤发生在心肌梗死后，1例发生在主动脉瓣置换术后。症状出现在原发事件后的3个月至12年。临床上，所有患者均因充血性心力衰竭合并一定程度的心绞痛入院。4例患者通过心室造影确诊，1例通过多门控采集放射性核素扫描（MUGA）确诊。所有患者在诊断后不久即接受手术。2例患者采用直接缝合孔口的方法，另外3例则需要用合成补片来封闭开口。4例患者术后存活，术后2至14年情况良好。本文对梗死后期假性动脉瘤的文献进行了综述和分析。本研究主张早期手术治疗，术后死亡率相对较低。
