Kanemoto N, Hirose S, Goto Y, Matsuyama S
Department of Internal Medicine, Tokai University School of Medicine, Isehara, Japan.
Angiology. 1988 Mar;39(3 Pt 1):263-71. doi: 10.1177/000331978803900310.
An interseptal false aneurysm of the left ventricle due to the dissection of the septum in a patient with acute inferior myocardial infarction is described. The aneurysm was demonstrated as a cystic bulge of the left ventricular cavity into the inferoposterior interventricular septum with a small orifice from the left ventricle without any protrusion or rupture into the right ventricular cavity. Two-dimensional echocardiography, magnetic resonance imaging, and dynamic computed tomography were the most useful and reliable noninvasive diagnostic modalities. Repeated examinations demonstrated a significant reduction of the aneurysm in six months.
本文描述了一名急性下壁心肌梗死患者因室间隔夹层形成导致左心室间隔部假性动脉瘤的病例。该动脉瘤表现为左心室腔向室间隔后下部呈囊性膨出,有一个与左心室相连的小孔,未向右心室腔突出或破裂。二维超声心动图、磁共振成像和动态计算机断层扫描是最有用且可靠的无创诊断方法。多次检查显示该动脉瘤在6个月内显著缩小。