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快速生长的缺血性心室壁瘤导致室性心动过速手术修复后的长期预后。

Long-term outcome after surgical repair of a rapid-grown ischemic ventricular aneurysm causing ventricular tachycardia.

作者信息

Gensler Daniel, Müntze Jonas, Nordbeck Peter

机构信息

Department of Internal Medicine I and Comprehensive Heart Failure Center University Hospital Würzburg Würzburg Germany.

出版信息

Clin Case Rep. 2019 Jan 17;7(3):413-415. doi: 10.1002/ccr3.1940. eCollection 2019 Mar.

Abstract

While improved treatment numerically decreased ventricular aneurysms after myocardial infarction, respective cases still represent a clinical challenge due to difficulties in diagnosis, complications like tachycardia, and controversies in state-of-the-art treatment. Our case illustrates good long-term outcome of surgical aneurysmectomy in cases where ventricular geometry can be restored to near-physiological dimensions.

摘要

虽然改进的治疗方法在数量上减少了心肌梗死后的室壁瘤,但由于诊断困难、心动过速等并发症以及当前治疗方法存在的争议,这些病例仍然是临床挑战。我们的病例表明,在心室几何形状能够恢复到接近生理尺寸的情况下,手术切除室壁瘤可取得良好的长期效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ad6/6406219/b294e81f4013/CCR3-7-413-g001.jpg

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