Terdjman M, Montely J M, Mesnildrey P, Chérifi F, Champeau B, Hanania G
Service de cardiologie, centre hospitalier général Robert Ballanger, Aulnay-sous-bois.
Arch Mal Coeur Vaiss. 1989 Dec;82(12):2065-9.
The authors report the case of a 55 year old man who suffered a silent, laterobasal myocardial infarction which was complicated by a subacute pseudo-false aneurysm of the lateral wall of the left ventricle. They underline: The importance of two-dimensional echocardiography in the diagnosis of a neo-para left ventricular cavity showing systolic expansion and communicating with the left ventricle by a narrow neck indicating rupture of the free ventricular wall; The value of two-dimensional color coded Doppler which enables the operator to distinguish the active nature of the neo-left ventricular cavity before surgery and its inactivity after surgery. The surgical indication for emergency resection of the pseudo aneurysm was based on these preoperative non-invasive observations. This case confirms the value of cardiac two-dimensional echo-Doppler studies in the investigation of ischaemic heart disease.
作者报告了一例55岁男性患者，该患者发生了无症状的后基底心肌梗死，并并发左心室侧壁亚急性假性动脉瘤。他们强调：二维超声心动图在诊断新形成的左心室旁腔时的重要性，该腔在收缩期扩张并通过狭窄颈部与左心室相通，提示心室游离壁破裂；二维彩色编码多普勒的价值，它能使操作者在手术前区分新形成的左心室腔的活动性及其在手术后的无活动性。基于这些术前非侵入性观察结果，确定了紧急切除假性动脉瘤的手术指征。该病例证实了心脏二维超声多普勒研究在缺血性心脏病检查中的价值。
