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一名57岁患者在因急性心肌梗死进行紧急冠状动脉搭桥术和二尖瓣置换术后，左心室出现一个大的假性动脉瘤。

A large pseudoaneurysm of the left cardiac ventricle in a 57-year-old patient after urgent coronary artery bypass grafting and surgical mitral valve replacement due to acute myocardial infarction.

作者信息

Wieczorek Joanna, Mizia-Stec Katarzyna, Rybicka-Musialik Anna, Janusiewicz Piotr, Malinowski Marcin, Deja Marek A

机构信息

Independent Public Clinical Hospital No. 7, Medical University of Silesia in Katowice, Prof. Leszek Giec Upper Silesian Medical Centre, Katowice, Poland.

出版信息

Kardiochir Torakochirurgia Pol. 2014 Dec;11(4):432-6. doi: 10.5114/kitp.2014.47347. Epub 2014 Nov 30.

DOI:10.5114/kitp.2014.47347
PMID:26336464
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4349044/
Abstract

We present a rare case of a left ventricular pseudoaneurysm in a patient after inferior wall myocardial infarction. The infarction was complicated with acute mitral insufficiency, pulmonary edema, and cardiogenic shock. Urgent surgical mitral valve replacement and coronary artery bypass grafting were performed. After several months, the patient was hospitalized again because of deterioration of exercise tolerance and symptoms of acute congestive heart failure. A large pseudoaneurysm of the left ventricle was recognized and successfully treated surgically.

摘要

我们报告了一例下壁心肌梗死后患者发生左心室假性动脉瘤的罕见病例。该梗死并发急性二尖瓣关闭不全、肺水肿和心源性休克。紧急进行了二尖瓣置换术和冠状动脉旁路移植术。数月后，患者因运动耐量下降和急性充血性心力衰竭症状再次住院。发现了一个巨大的左心室假性动脉瘤，并成功进行了手术治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea93/4349044/f00cb4c8c8c3/KITP-11-24084-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea93/4349044/d20caa52c5c8/KITP-11-24084-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea93/4349044/07cff933cb4a/KITP-11-24084-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea93/4349044/49d8661b8f2b/KITP-11-24084-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea93/4349044/f00cb4c8c8c3/KITP-11-24084-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea93/4349044/d20caa52c5c8/KITP-11-24084-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea93/4349044/07cff933cb4a/KITP-11-24084-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea93/4349044/49d8661b8f2b/KITP-11-24084-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea93/4349044/f00cb4c8c8c3/KITP-11-24084-g004.jpg

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本文引用的文献

1
Unruptured left ventricular pseudoaneurysm following inferior wall myocardial infarction.左心室未破裂假性室壁瘤，继发于下壁心肌梗死。
Cardiol J. 2012;19(5):539-42. doi: 10.5603/cj.2012.0100.
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A review of electrocardiography in pulmonary embolism: recognizing pulmonary embolus masquerading as ST-elevation myocardial infarction.肺栓塞心电图评估：识别伪装为 ST 段抬高型心肌梗死的肺血栓栓塞症。
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成人左心室憩室和动脉瘤样结构：文献综述背景下的病例报告
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Surgical treatment of post-infarction left ventricular pseudoaneurysm: a two-decade experience.心肌梗死后左心室假性动脉瘤的外科治疗：二十年经验
Tex Heart Inst J. 2007;34(1):47-51.
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Left ventricular pseudoaneurysm after myocardial infarction.心肌梗死后左心室假性动脉瘤
Heart Vessels. 2003 Jul;18(3):160-2. doi: 10.1007/s00380-003-0693-0.
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