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一个布尔困境：真性还是假性动脉瘤？

A Boolean Dilemma: True or False Aneurysm?

作者信息

Holtackers Robert J, Ter Bekke Rachel M A, Bijvoet Geertruida P, Gommers Suzanne, Chiribiri Amedeo, Lorusso Roberto

机构信息

Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, Maastricht, the Netherlands.

Department of Radiology & Nuclear Medicine, Maastricht University Medical Centre, Maastricht, the Netherlands.

出版信息

JACC Case Rep. 2020 Dec 23;3(1):112-116. doi: 10.1016/j.jaccas.2020.09.055. eCollection 2021 Jan.

DOI:10.1016/j.jaccas.2020.09.055
PMID:34317481
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8305069/
Abstract

A feared complication of acute myocardial infarction is the formation of a cardiac pseudoaneurysm. We report a case of a gargantuan, arrhythmogenic left-ventricular pseudoaneurysm with contradictory morphological characteristics. The integrative use of high-resolution 3-dimensional magnetic resonance imaging and computed tomography proved essential for the diagnostic discrimination and successful therapeutic intervention. ().

摘要

急性心肌梗死令人担忧的并发症是心脏假性动脉瘤的形成。我们报告一例巨大的、致心律失常的左心室假性动脉瘤，其具有矛盾的形态学特征。高分辨率三维磁共振成像和计算机断层扫描的综合应用被证明对诊断鉴别和成功的治疗干预至关重要。（）

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本文引用的文献

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Steadily Increasing Inversion Time Improves Blood Suppression for Free-Breathing 3D Late Gadolinium Enhancement MRI With Optimized Dark-Blood Contrast.随着反转时间的逐渐延长，优化的暗血对比自由呼吸 3D 晚期钆增强 MRI 的血液抑制效果得到改善。
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Clinical value of dark-blood late gadolinium enhancement cardiovascular magnetic resonance without additional magnetization preparation.无额外磁化准备的黑血晚期钆增强心血管磁共振的临床价值。
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Left ventricular pseudoaneurysm.左心室假性动脉瘤。
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J Am Coll Cardiol. 1996 May;27(6):1321-6. doi: 10.1016/0735-1097(96)00008-3.
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Surgical treatment of postinfarction false aneurysm of the left ventricle.左心室心肌梗死后假性动脉瘤的外科治疗
J Thorac Cardiovasc Surg. 1993 Dec;106(6):1189-91.
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Am J Cardiol. 1980 Nov;46(5):869-78. doi: 10.1016/0002-9149(80)90442-7.
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Prognostic significance of angiographically documented left ventricular aneurysm from the Coronary Artery Surgery Study (CASS).来自冠状动脉外科研究（CASS）的血管造影记录的左心室室壁瘤的预后意义。
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