Barbosa Roberto Ramos, Sassine Assad Miguel, Rolim Vitor Martinelli Batista, Dall'Orto Lima Pietro, de Mattos Farina Eduardo Moreno Judice, Moura Ramon Chiabai, Barbosa Luiz Fernando Machado
Department of Cardiology, Santa Casa de Misericórdia de Vitória Hospital, Rua Dr. João dos Santos Neves, 143, Vila Rubim, 29025-023 Vitória, ES, Brazil.
School of Medicine of Santa Casa de Misericórdia, Av. Nossa Sra. da Penha, 2190, Bela Vista, 29027-502 Vitória, ES, Brazil.
Case Rep Cardiol. 2021 Feb 10;2021:4308690. doi: 10.1155/2021/4308690. eCollection 2021.
Left ventricle pseudoaneurysm is usually a severe complication of acute myocardial infarction, caused by rupture of the myocardial wall with pericardium bleeding. Mortality can reach 50 to 80% within a week if not properly treated. Hemodynamic instability, cardiac tamponade, and cardiac arrest are life-threatening presentations that require surgical treatment. We report a case of a man with a left ventricle chronic giant pseudoaneurysm and unspecific symptoms. After critical judgement on a heart team basis, surgical treatment was successfully performed, with a good long-term clinical outcome.
左心室假性动脉瘤通常是急性心肌梗死的严重并发症，由心肌壁破裂伴心包出血引起。若未得到妥善治疗，一周内死亡率可达50%至80%。血流动力学不稳定、心脏压塞和心脏骤停是危及生命的表现，需要进行手术治疗。我们报告一例患有左心室慢性巨大假性动脉瘤且症状不典型的男性病例。经过心脏团队的审慎评估，成功实施了手术治疗，获得了良好的长期临床效果。
