Gensler Daniel, Müntze Jonas, Nordbeck Peter
Department of Internal Medicine I and Comprehensive Heart Failure Center University Hospital Würzburg Würzburg Germany.
Clin Case Rep. 2019 Jan 17;7(3):413-415. doi: 10.1002/ccr3.1940. eCollection 2019 Mar.
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.
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。