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巨大左心室下外侧动脉瘤。

Large inferolateral left ventricular aneurysm.

作者信息

Flam Benjamin, Albåge Anders

机构信息

Perioperative Medicine and Intensive Care, Karolinska University Hospital, Solna, Stockholm; Department of Cardiothoracic Surgery and Anesthesiology, Uppsala University Hospital, Uppsala, Sweden.

Department of Cardiothoracic Surgery and Anesthesiology, Uppsala University Hospital, Uppsala, Sweden.

出版信息

Ann Card Anaesth. 2018 Jan-Mar;21(1):68-70. doi: 10.4103/aca.ACA_89_17.

DOI:10.4103/aca.ACA_89_17
PMID:29336397
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5791494/
Abstract

The majority of cardiac left ventricular aneurysms involve the anterior and/or apical wall. We present a case of a 50-year-old man with heart failure caused by a large inferolateral left ventricular aneurysm and associated mitral regurgitation, managed by aneurysmectomy, mitral valvuloplasty, and surgical revascularization.

摘要

大多数心脏左心室动脉瘤累及前壁和/或心尖壁。我们报告一例50岁男性患者，因巨大的左心室下外侧动脉瘤及相关二尖瓣反流导致心力衰竭，通过动脉瘤切除术、二尖瓣成形术和外科血运重建进行治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7ae/5791494/9de11c33c9cd/ACA-21-68-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7ae/5791494/a5614088af21/ACA-21-68-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7ae/5791494/6e7271d3a740/ACA-21-68-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7ae/5791494/c7426d8e6a0c/ACA-21-68-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7ae/5791494/9de11c33c9cd/ACA-21-68-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7ae/5791494/a5614088af21/ACA-21-68-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7ae/5791494/6e7271d3a740/ACA-21-68-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7ae/5791494/c7426d8e6a0c/ACA-21-68-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7ae/5791494/9de11c33c9cd/ACA-21-68-g004.jpg

相似文献

1
Large inferolateral left ventricular aneurysm.巨大左心室下外侧动脉瘤。
Ann Card Anaesth. 2018 Jan-Mar;21(1):68-70. doi: 10.4103/aca.ACA_89_17.
2
[A successful case of ischemic cardiomyopathy associated with left ventricular aneurysm and mitral regurgitation].[一例成功治疗的伴有左心室室壁瘤和二尖瓣反流的缺血性心肌病病例]
Kyobu Geka. 1995 Aug;48(9):781-4.
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Left ventricular pseudoaneurysm and mitral valve regurgitation. Conservative surgical therapy.左心室假性动脉瘤和二尖瓣反流。保守性手术治疗。
J Cardiovasc Surg (Torino). 1999 Oct;40(5):679-81.
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Simple suture mitral annuloplasty with left ventriculotomy.经左心室切开术的单纯缝合二尖瓣环成形术。
Asian Cardiovasc Thorac Ann. 2008 Dec;16(6):495-6. doi: 10.1177/021849230801600615.
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Nihon Kyobu Geka Gakkai Zasshi. 1997 Dec;45(12):2003-5.
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[Surgical treatment of left ventricular aneurysm with acute myocardial infarction associated to mitral valve stenosis: a case report].
Kyobu Geka. 1997 May;50(5):400-3.
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Left ventricular pseudoaneurysm after coronary artery bypass and valve replacement for post-infarction mitral regurgitation.冠状动脉搭桥及瓣膜置换术后因心肌梗死后二尖瓣反流所致的左心室假性动脉瘤。
Tex Heart Inst J. 2006;33(4):505-7.
8
Concomitant mitral valve repair and left ventricular reconstruction in a patient with chronic ischemic mitral regurgitation and inferior left ventricular aneurysm.一名患有慢性缺血性二尖瓣反流和左心室下壁动脉瘤的患者接受二尖瓣修复和左心室重建术。
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[Surgical treatment of left ventricular aneurysm associated with mitral regurgitation].
Nihon Kyobu Geka Gakkai Zasshi. 1989 Jul;37(7):1322-8.
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[Transection of secondary chordae of anterior mitral valve leaflet as a method of correction of functional mitral insufficiency during resection of left ventricular aneurism].
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Medicine (Baltimore). 2025 Aug 8;104(32):e43696. doi: 10.1097/MD.0000000000043696.
2
Anesthetic management in a patient with apical ventricular pseudoaneurysm for a non-cardiac surgery.一名患有心尖部室壁假性动脉瘤的患者接受非心脏手术时的麻醉管理。
J Anaesthesiol Clin Pharmacol. 2022 Apr-Jun;38(2):333-334. doi: 10.4103/joacp.JOACP_402_19. Epub 2022 May 2.
3
Role of multimodality imaging in a patient with posterior left ventricular aneurysm and non-compaction: Review of the literature.

本文引用的文献

1
2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines.2013年美国心脏病学会基金会/美国心脏协会ST段抬高型心肌梗死管理指南：美国心脏病学会基金会/美国心脏协会实践指南工作组报告
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The Dor procedure for left ventricular reconstruction. Ten-year clinical experience.用于左心室重建的Dor手术：十年临床经验
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J Nucl Cardiol. 2022 Jun;29(3):1091-1099. doi: 10.1007/s12350-020-02365-0. Epub 2020 Oct 8.
Improved cardiac function following left ventricular aneurysm resection: pre- and postoperative performance studies in 150 patients.
左心室动脉瘤切除术后心脏功能改善：150例患者的术前和术后性能研究
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The effect of thrombolytic therapy on left ventricular aneurysm formation in acute myocardial infarction: relationship to successful reperfusion and vessel patency.溶栓治疗对急性心肌梗死左心室室壁瘤形成的影响：与再灌注成功及血管通畅的关系。
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Postinfarction ventricular aneurysm. A clinicomorphologic and electrocardiographic study of 80 cases.心肌梗死后室壁瘤。80例临床形态学和心电图研究。
Am Heart J. 1965 Dec;70(6):753-60. doi: 10.1016/0002-8703(65)90331-5.
7
Giant inferior wall left ventricular aneurysm.巨大下壁左心室室壁瘤
Am Heart J. 1990 Feb;119(2 Pt 1):400-2. doi: 10.1016/s0002-8703(05)80036-5.