Şahan Ekrem, Şahan Suzan, Karamanlıoğlu Murat, Gül Murat, Tüfekçioğlu Omac
Atatürk Pulmonary Disease and Thorax Surgery Research Hospital, Ankara, Turkey,
Herz. 2015 Aug;40(5):778-82. doi: 10.1007/s00059-015-4302-7. Epub 2015 May 5.
Left ventricular pseudoaneurysm (LVPA) due to incomplete or late rupture after mitral valve replacement is a rare condition but can be life threatening if it develops into perdicardial tamponade. LVPA may develop de novo after the surgical procedure or may be a sequela of an earlier rupture. Clinical presentation includes shortness of breath, heart failure, chest pain, endocarditis, and pericardial tamponade. However, it can also have an asymptomatic course. The recommended treatment for LVPA is surgical repair. Conservative follow-up is an alternative for patients who refuse surgical treatment or are considered high risk for re-operation. We conducted a review of all the available literature on cases of LVPA after mitral valve replacement and present the findings here.
二尖瓣置换术后因不完全或延迟破裂导致的左心室假性动脉瘤（LVPA）是一种罕见疾病，但如果发展为心包填塞则可能危及生命。LVPA 可能在手术过程后新发，也可能是早期破裂的后遗症。临床表现包括呼吸急促、心力衰竭、胸痛、心内膜炎和心包填塞。然而，它也可能呈无症状病程。LVPA 的推荐治疗方法是手术修复。对于拒绝手术治疗或被认为再次手术风险高的患者，保守随访是一种替代方案。我们对二尖瓣置换术后 LVPA 病例的所有现有文献进行了综述，并在此呈现研究结果。
