Tang Liang, Tang Jian-Jun, Hu Xin-Qun, Fang Zhen-Fei, Zhu Zhao-Wei, Chen Ya-Qin, Zhao Yan-Shu, Peng Ran, Zhou Sheng-Hua
Department of Cardiology, The Second Xiangya Hospital of Central South University.
Int Heart J. 2019 Jul 27;60(4):998-1002. doi: 10.1536/ihj.18-577. Epub 2019 Jun 28.
Ventricular pseudoaneurysm (PSA) is a rare, yet life-threatening complication of myocardial infarction, cardiac surgery, and transcatheter valve replacement. Although conventional surgery is the preferred treatment strategy, transcatheter closure has emerged as an effective alternative in selected candidates. In this report, we describe successful transcatheter closure of two unique cases of ventricular pseudoaneurysm (PSA): first, a complex post-myocardial infarction left ventricular PSA (LVPSA) with multi-communications, and second, a case of post-traumatic right ventricular PSA (RVPSA) following blunt chest injury caused by domestic violence.
心室假性动脉瘤(PSA)是心肌梗死、心脏手术及经导管瓣膜置换术后罕见但危及生命的并发症。尽管传统手术是首选治疗策略,但经导管封堵术已成为部分合适患者的有效替代方案。在本报告中,我们描述了两例心室假性动脉瘤(PSA)经导管封堵成功的独特病例:第一例是心肌梗死后复杂的左心室PSA(LVPSA)伴多发交通支;第二例是家庭暴力导致钝性胸部损伤后创伤性右心室PSA(RVPSA)。