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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.

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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