Ginsberg F, Rosenberg R J, Sziklas J J, Spencer R P
Clin Nucl Med. 1987 Jun;12(6):430-2. doi: 10.1097/00003072-198706000-00004.
Three cases of cardiac pseudoaneurysms were presented, with findings at the time of gated blood pool imaging. In only one of three was there the finding of a small neck connecting the ventricular cavity with the pseudoaneurysm. In the other two patients, there was a considerably larger communication. The size of the pseudoaneurysm itself was also of little diagnostic assistance. In one case it was small, while in a second patient it was larger in size. The third case revealed a pseudoaneurysm of enormous size (larger than the ventricular cavity). Gated blood pool imaging apparently can be called upon to demonstrate the presence of an abnormality. It may not be able to definitely establish the diagnosis of pseudoaneurysm, but should suggest the use of cardiac angiography to distinguish these life threatening lesions from true aneurysms.
本文报告了3例心脏假性动脉瘤病例，并阐述了门控心血池显像时的检查结果。3例中仅有1例发现有一小段连接心室腔与假性动脉瘤的颈部。另外2例患者的通道则大得多。假性动脉瘤本身的大小对诊断帮助也不大。1例较小，另1例较大。第3例显示假性动脉瘤巨大（大于心室腔）。门控心血池显像显然可用于显示异常的存在。它可能无法明确诊断假性动脉瘤，但应提示采用心脏血管造影术，以将这些危及生命的病变与真性动脉瘤区分开来。
