Katkova L A, Furman N V, Dolotovskaya P V, Dovgalevsky Ya P, Sakharova N K, Panteleeva E A, Parshina E A
Research Institute of Cardiology, Saratov State Medical University named after V.I. Razumovsky, Saratov, Russia.
Regional Cardiology Hospital, Saratov, Russia.
Kardiologiia. 2016 Sep;56(9):92-96. doi: 10.18565/cardio.2016.9.92-96.
Rupture of the free wall of the left ventricle with the formation of a false aneurysm (pseudoaneurysm, PA) - is a rare complication of acute myocardial infarction. Given the high risk of rupture of the PA and other life-threatening consequences (progressive heart failure, thromboembolic events), as well as the absence of pathognomonic signs and the difficulty in determining treatment strategy (feasibility and timing of surgery), early diagnosis of this complication appears to be especially important. We present here an overview of literature data on prevalence, specific features of diagnostics, and problems related to selection of method of treatment of PA. A case f congestive heart failure due to PA of the left ventricle as a result of painless myocardial infarction in 65-year-old patient with diabetes is also presented.
左心室游离壁破裂并形成假性动脉瘤（PA）是急性心肌梗死的一种罕见并发症。鉴于PA破裂的高风险及其他危及生命的后果（进行性心力衰竭、血栓栓塞事件），以及缺乏特征性体征且难以确定治疗策略（手术的可行性和时机），早期诊断这一并发症显得尤为重要。我们在此概述有关PA的患病率、诊断的具体特征以及与PA治疗方法选择相关问题的文献数据。还介绍了一名65岁糖尿病患者因无痛性心肌梗死导致左心室PA并发充血性心力衰竭的病例。
