二尖瓣和主动脉瓣感染性心内膜炎心脏手术后发生左心室游离壁假性动脉瘤：一例报告
Pseudoaneurysm of the left ventricular free wall occurring after cardiac surgery of endocarditis affecting mitral and aortic valves: a case report.
作者信息
El Hadj Sidi Chighaly, Isselmou Varha, Mohamed Ahmed Mohamed Feissal, Diop El Hadj Abdelaziz, Argueina Taleb Ekhyar, Mady Haimouda, Boye Khaled
机构信息
Department of Cardiovascular and Thoracic Surgery, National Center of Cardiology, Nouakchott, Mauritania.
Department of Cardiology, National Center of Cardiology, Nouakchott, Mauritania.
出版信息
Egypt Heart J. 2023 Jan 24;75(1):6. doi: 10.1186/s43044-023-00334-9.
BACKGROUND
Infective endocarditis remains a serious condition. Left ventricular pseudoaneurysm may complicate the clinical course of infective endocarditis or occur postoperatively.
CASE PRESENTATION
We describe a case of a pseudoaneurysm of the left ventricular lateral wall which developed one month following cardiac surgery of active endocarditis affecting aortic and mitral valves. The diagnosis was established by transthoracic echocardiography and computed tomography angiography of the chest. Urgent cardiac surgery is performed with excision of the pseudoaneurysm and direct closure of the defect. The patient had a complete recovery and was discharged on the twelfth postoperative day.
CONCLUSIONS
Left ventricular pseudoaneurysms are rare but potentially fatal. The symptoms revealing such complications are very diverse. Surgical treatment can be offered to younger patients.
背景
感染性心内膜炎仍然是一种严重的疾病。左心室假性动脉瘤可能使感染性心内膜炎的临床病程复杂化或在术后发生。
病例报告
我们描述了一例左心室侧壁假性动脉瘤病例，该病例在主动脉瓣和二尖瓣感染性心内膜炎心脏手术后一个月出现。通过经胸超声心动图和胸部计算机断层血管造影确诊。紧急进行心脏手术，切除假性动脉瘤并直接闭合缺损。患者完全康复，术后第12天出院。
结论
左心室假性动脉瘤罕见但可能致命。揭示此类并发症的症状多种多样。对于年轻患者可提供手术治疗。
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