Department of Cardiovascular Surgery, Hiratsuka City Hospital, Kanagawa, Japan.
Interact Cardiovasc Thorac Surg. 2020 Aug 1;31(2):268-270. doi: 10.1093/icvts/ivaa079.
Intramyocardial dissection (ID) is a rare left ventricular (LV) disorder characterized by myocardial fibre dissection and neocavitation. In this study, we present a rare case of a 66-year-old woman who had a history of sarcoidosis with non-ischaemic ID following total arch replacement. ID developed suddenly in the free wall of the LV and expanded rapidly to form an LV aneurysm. We successfully performed LV reconstructive surgery to prevent ID rupture.
心肌内夹层（ID）是一种罕见的左心室（LV）疾病，其特征为心肌纤维夹层和新腔形成。在本研究中，我们报告了一例罕见病例，一名 66 岁女性患有结节病病史，在全主动脉弓置换术后出现非缺血性 ID。ID 突然发生在 LV 游离壁，并迅速扩展形成 LV 动脉瘤。我们成功地进行了 LV 重建手术，以防止 ID 破裂。
