Silveira Inês, Rodrigues Patrícia, Gomes Catarina, Torres Severo
Department of Cardiology, Centro Hospitalar do Porto, Porto, Portugal.
J Cardiovasc Echogr. 2018 Jan-Mar;28(1):67-68. doi: 10.4103/jcecho.jcecho_39_17.
We present a case of a 63-year-old patient referred to a cardiology consultation due to progressive symptoms of heart failure. He had a history of an inferior ST elevation acute myocardial infarction 6 years ago. Echocardiogram revealed a giant left ventricular aneurysm/pseudoaneurysm involving the inferior and inferolateral left ventricular walls, with a massive mural thrombus. Additional characterization was done by cardiac magnetic resonance, essential in establishing the diagnosis of pseudoaneurysm and to guide subsequent management. In this case, we discuss the differential diagnosis between aneurysm and pseudoaneurysm and highlight the role of non-invasive multimodality imaging.
我们报告一例63岁患者，因心力衰竭进行性症状转诊至心内科会诊。他6年前有下壁ST段抬高型急性心肌梗死病史。超声心动图显示巨大左心室真性动脉瘤/假性动脉瘤，累及左心室下壁和下侧壁，并伴有大量壁内血栓。通过心脏磁共振成像进行了进一步的特征性检查，这对于确立假性动脉瘤的诊断以及指导后续治疗至关重要。在本病例中，我们讨论了真性动脉瘤与假性动脉瘤的鉴别诊断，并强调了非侵入性多模态成像的作用。
