无血流动力学不稳定患者的左心室假性动脉瘤切除术：病例报告

Left ventricular pseudoaneurysmectomy in patient without hemodynamic instability: A case report.

作者信息

Bakhutashvili Zviad, Janelidze Lia, Beria Kakhaber, Bakashvili Nana, Kuridze Nika

机构信息

Department of Cardiac Surgery G. Chapidze Emergency Cardiology Center Tbilisi Georgia.

Faculty of Clinical and Translational Medicine Ivane Javakhishvili Tbilisi State University Tbilisi Georgia.

出版信息

Clin Case Rep. 2023 Jan 16;11(1):e6855. doi: 10.1002/ccr3.6855. eCollection 2023 Jan.

DOI:10.1002/ccr3.6855

PMID:36694640

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9842869/

Abstract

We present a case of a 66-year-old male with a history of two previous diagnoses of myocardial infarction, followed by drug-eluting stent implantation. During the check-up, he complained of dyspnea, fatigue, and dizziness. Echocardiography revealed a massive left ventricular pseudoaneurysm (LVP). According to the patient's clinical manifestations and radiologic data, urgent surgical intervention was performed. Postoperatively, several complications appeared, which were managed successfully. The patient was discharged in stable condition. This is an interesting case of massive LVP without hemodynamic instability.

摘要

我们报告一例66岁男性病例，该患者既往有两次心肌梗死诊断史，随后接受了药物洗脱支架植入术。在检查期间，他主诉呼吸困难、疲劳和头晕。超声心动图显示巨大左心室假性动脉瘤（LVP）。根据患者的临床表现和影像学资料，进行了紧急手术干预。术后出现了几种并发症，但均成功处理。患者出院时病情稳定。这是一例无血流动力学不稳定的巨大LVP的有趣病例。