Andersen H R, Falk E
Department of Cardiology, Aalborg Sygehus, Denmark.
Cardiology. 1987;74(6):479-82. doi: 10.1159/000174241.
A 78-year-old man with atherosclerotic heart disease developed extensive right ventricular infarction fibrosis with aneurysm formation following right coronary artery occlusion. No symptoms of right-sided heart failure were present. Postmortem examination revealed that 40% of the right ventricle, 11% of the septum and 7% of the left ventricular free wall were infarcted due to right coronary artery occlusion. This is the first documented case of isolated aneurysm of the right ventricle following infarction and it demonstrates that even extensive right ventricular destruction may be present without symptoms.
一名患有动脉粥样硬化性心脏病的78岁男性，在右冠状动脉闭塞后出现广泛的右心室梗死纤维化并形成动脉瘤。未出现右心衰竭症状。尸检显示，由于右冠状动脉闭塞，40%的右心室、11%的室间隔和7%的左心室游离壁发生梗死。这是首例有记录的梗死性右心室孤立性动脉瘤病例，它表明即使右心室受到广泛破坏也可能没有症状。
