Miyagawa Atsushi, Okamura Homare, Kitada Yuichiro, Arakawa Mamoru, Adachi Hideo
Department of Cardiovascular Surgery, 83943Nerima Hikarigaoka Hospital, Tokyo, Japan.
Asian Cardiovasc Thorac Ann. 2021 Feb;29(2):116-118. doi: 10.1177/0218492320957168. Epub 2020 Aug 30.
An 85-year-old man with appetite loss, lightheadedness, and leg edema was referred to our institution. Computed tomography and transthoracic echocardiography revealed a left ventricular pseudoaneurysm with a maximal diameter of 80 mm and severe mitral regurgitation. Coronary angiography showed 90% stenosis and total occlusion of the left circumflex artery at segments 11 and 12, respectively. He was diagnosed with postinfarction left ventricular pseudoaneurysm and underwent patch repair using two bovine pericardium patches and biological glue, mitral valve replacement, and coronary artery bypass grafting. His postoperative course was uneventful.
一名85岁男性，因食欲减退、头晕和腿部水肿转诊至我院。计算机断层扫描和经胸超声心动图显示左心室假性动脉瘤，最大直径为80mm，伴有严重二尖瓣反流。冠状动脉造影显示左旋支动脉11段和12段分别有90%狭窄和完全闭塞。他被诊断为心肌梗死后左心室假性动脉瘤，并接受了使用两片牛心包补片和生物胶的补片修补术、二尖瓣置换术和冠状动脉旁路移植术。术后恢复顺利。
