Elkouby A, Vaillant A, Comet B, Gonzalès T, Pinot J J, Malméjac C, Houël J
Arch Mal Coeur Vaiss. 1986 Dec;79(13):1956-60.
The authors report a case of false aneurysm of the posterior subaortic region of the left ventricle after a technically difficult surgical decalcification in a case of aortic stenosis. At reoperation, the surgeon used the femoral artery and both vena cavae for canulation. A direct approach of this "vascular" tumour, which was exterior to the great vessels, confirmed the diagnosis and enabled the localisation of the internal orifice inside the left ventricle. This was closed simply by suturing. No previous cases of this kind were found in the literature. This report underlines the necessity of taking the greatest care when decalcifying this region in order to avoid this type of serious complication.
作者报告了一例主动脉瓣狭窄患者在经历技术难度较大的手术去钙化后，左心室主动脉瓣下区域出现假性动脉瘤的病例。再次手术时，外科医生使用股动脉和双侧腔静脉进行插管。该“血管性”肿瘤位于大血管外部，通过直接入路得以确诊，并确定了左心室内的内口位置。通过简单缝合将其封闭。文献中未发现此前有此类病例。本报告强调了在该区域去钙化时需格外小心，以避免这类严重并发症的必要性。
