Catalano Michael A, Hemli Jonathan M, Lasic Zoran, Patel Nirav C
Division of Cardiac Surgery, Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
Department of Cardiovascular and Thoracic Surgery, Lenox Hill Hospital/Northwell Health, 130 E 77th St 4th Floor, New York, NY 10075, USA.
J Cardiol Cases. 2022 Feb 20;25(6):416-419. doi: 10.1016/j.jccase.2022.01.008. eCollection 2022 Jun.
Although left ventricular (LV) aneurysm is a well-described complication of ischemic heart disease, it may less frequently develop in the setting of normal coronary anatomy and myocardial blood supply. LV noncompaction (LVNC) is a particularly rare etiology of LV aneurysm; in the few cases previously reported in the literature, non-surgical management was pursued. In this report, we discuss the surgical repair of an 'idiopathic' LV aneurysm in a patient who presented with multiple thromboembolic events, with LVNC as the likely etiology on the underlying LV pathology. < Left ventricular (LV) noncompaction represents a rare etiology of LV aneurysm; although non-surgical management of this condition has been previously reported, we demonstrate that early surgical intervention is an acceptable treatment option.>.
虽然左心室（LV）动脉瘤是缺血性心脏病一种广为人知的并发症，但在冠状动脉解剖结构和心肌血供正常的情况下，其发生频率可能较低。左心室心肌致密化不全（LVNC）是左心室动脉瘤一种极为罕见的病因；在先前文献报道的少数病例中，采用的是非手术治疗。在本报告中，我们讨论了一名出现多次血栓栓塞事件的患者“特发性”左心室动脉瘤的手术修复，潜在的左心室病理病因可能是LVNC。<左心室心肌致密化不全是左心室动脉瘤一种罕见的病因；虽然此前已有关于该病非手术治疗的报道，但我们证明早期手术干预是一种可接受的治疗选择。>
