Chi Lam Simon Cheung, Bertog Stefan, Sievert Horst
CardioVascular Center Frankfurt, Frankfurt, Germany.
Catheter Cardiovasc Interv. 2015 Feb 1;85(2):315-20. doi: 10.1002/ccd.25365. Epub 2014 Jan 29.
We report a case of percutaneous closure of multiple left ventricular aneurysms in a patient with inherited aortic-aneurysm syndrome-the Loeys-Dietz syndrome. One aneurysm was a true aneurysm in the subaortic region and the second one was a pseudoaneurysm at the left ventricular apex. The patient was a high-risk candidate for repeated operations. Both aneurysms were closed successfully percutaneously in staged procedures. There were no complications. The patient remained clinically well with stable echocardiographic results upon reassessment. This case illustrated that catheter-based closure of left ventricular aneurysms is a feasible approach in the context of connective tissue abnormalities related to the Loeys-Dietz syndrome.
我们报告了一例患有遗传性主动脉瘤综合征——洛伊斯-迪茨综合征的患者经皮闭合多个左心室动脉瘤的病例。一个动脉瘤位于主动脉下区域，为真性动脉瘤，另一个位于左心室心尖部，为假性动脉瘤。该患者是再次手术的高危候选人。两个动脉瘤均在分期手术中成功经皮闭合。无并发症发生。再次评估时，患者临床情况良好，超声心动图结果稳定。该病例表明，在与洛伊斯-迪茨综合征相关的结缔组织异常情况下，基于导管的左心室动脉瘤闭合术是一种可行的方法。
