Department of Cardiovascular Surgery, Hyogo Brain and Heart Center, 520 Saisho-ko, Himeji, Hyogo, 670-0981, Japan.
Gen Thorac Cardiovasc Surg. 2021 Aug;69(8):1240-1242. doi: 10.1007/s11748-021-01637-x. Epub 2021 May 11.
Left ventricular pseudoaneurysm is a rare complication after myocardial infarction or cardiac surgery. An 88-year-old woman who developed a left ventricular pseudoaneurysm 7 years after the repair of a postinfarction ventricular septal defect was admitted to our hospital with a complaint of a pulsatile epigastric mass, which had persisted for a month. Enhanced computed tomography revealed a large left ventricular pseudoaneurysm that extended to the subcutaneous epigastric tissue through the supra-diaphragmatic space. Dehiscence of the patch on the lateral side, which was used during previous surgery, provided the entry site. Surgical repair with aneurysm exclusion patch plasty was successful, and the patient was discharged without any complications.
左心室假性动脉瘤是心肌梗死或心脏手术后的一种罕见并发症。一位 88 岁女性在因心肌梗死导致的室间隔缺损修复术后 7 年出现左心室假性动脉瘤，并因持续 1 个月的上腹部搏动性肿块就诊。增强计算机断层扫描显示一个大型左心室假性动脉瘤通过膈肌上方空间延伸至皮下上腹部组织。先前手术中使用的补片外侧裂开，提供了入口。通过使用动脉瘤排除补片成形术进行手术修复获得成功，患者无任何并发症出院。
