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超声心动图诊断巨大左心室假性动脉瘤：病例报告

Echocardiographic diagnosis of a massive left ventricular pseudoaneurysm: a case report.

作者信息

Sokolskaya Nadezhda, Kopylova Natalya, Slivneva Inessa, Kolesnikov Yan, Alshibaya Michail, Zakharkina Mariya

机构信息

Institute of Coronary and Vascular Surgery of the A.N. Bakoulev Center for Cardiovascular Surgery, Russian Academy of Medical Sciences, Moscow, Russian Federation.

出版信息

Kardiochir Torakochirurgia Pol. 2015 Jun;12(2):181-3. doi: 10.5114/kitp.2015.52867. Epub 2015 Jun 30.

DOI:10.5114/kitp.2015.52867
PMID:26336507
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4550030/
Abstract

Left ventricular aneurysm is one of the most troublesome complications of myocardial infarction. This complication results from LV wall rupture and presents as a cavity contained by pericardium and fragments of the ruptured wall. The risk of pseudoaneurysm rupture is very high and this makes the prognosis for the disease extremely unfavorable. A surgical correction, involving a patch repair of the LV wall, seems to be the only treatment modality. Echocardiography makes it possible to diagnose pseudoaneurysm of the left ventricle in most cases, while intraoperative transesophageal echocardiography is required for the in-process monitoring of intracardiac hemodynamics and assessment of intervention efficiency.

摘要

左心室假性动脉瘤是心肌梗死最棘手的并发症之一。这种并发症是由左心室壁破裂引起的，表现为一个由心包和破裂壁碎片所包绕的腔室。假性动脉瘤破裂的风险非常高，这使得该病的预后极其不利。手术矫正，即对左心室壁进行补片修复，似乎是唯一的治疗方式。超声心动图在大多数情况下能够诊断左心室假性动脉瘤，而术中经食管超声心动图则用于心内血流动力学的术中监测以及干预效果的评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f98/4550030/e42b2dcf6110/KITP-12-25483-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f98/4550030/364b9f953a1d/KITP-12-25483-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f98/4550030/04ce7db81f3b/KITP-12-25483-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f98/4550030/069562651402/KITP-12-25483-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f98/4550030/7ad9ff0f9e7b/KITP-12-25483-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f98/4550030/e42b2dcf6110/KITP-12-25483-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f98/4550030/364b9f953a1d/KITP-12-25483-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f98/4550030/04ce7db81f3b/KITP-12-25483-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f98/4550030/069562651402/KITP-12-25483-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f98/4550030/7ad9ff0f9e7b/KITP-12-25483-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f98/4550030/e42b2dcf6110/KITP-12-25483-g005.jpg

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本文引用的文献

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Factors related to heart rupture in acute coronary syndromes in the Global Registry of Acute Coronary Events.急性冠状动脉事件全球注册研究中心中与急性冠状动脉综合征相关的心脏破裂的因素。
Eur Heart J. 2010 Jun;31(12):1449-56. doi: 10.1093/eurheartj/ehq061. Epub 2010 Mar 15.
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Repair of left ventricular pseudoaneurysms.左心室假性动脉瘤的修复
Asian Cardiovasc Thorac Ann. 2010 Feb;18(1):39-43. doi: 10.1177/0218492309353988.
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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
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