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左心室前基底假性动脉瘤单发血管病变

Anterior basal left ventricular pseudoaneurysm in a single vessel disease.

机构信息

Department of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.

Department of Cardiac, Thoracic and Vascular Surgery, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.

出版信息

Perfusion. 2024 May;39(4):849-853. doi: 10.1177/02676591231160269. Epub 2023 Feb 28.

DOI:10.1177/02676591231160269
PMID:36855313
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11083744/
Abstract

INTRODUCTION

Left ventricular pseudoaneurysm is a rare but serious clinicopathologic entity.

MATERIALS AND RESULTS

This article describes a case report of 51-year-old man who experienced recurrence of chest pain and dyspnea 4 months later after anterior ST elevation myocardial infarction of first diagonal branch. Anterior basal left ventricular pseudoaneurysm was diagnosed and successful surgical treatment was performed. One year after operation, patient has no cardiovascular events and remains in NYHA class II.

CONCLUSION

Cardiac magnetic resonance should be performed, if there is a suspicion of left ventricular pseudoaneurysm from transthoracic echocardiography. Surgery is the treatment of choice in case of left ventricular pseudoaneuryms because untreated lesions carry a significantly high risk of rupture.

摘要

简介

左心室假性动脉瘤是一种罕见但严重的临床病理实体。

材料和结果

本文描述了一例 51 岁男性的病例报告，该患者在前降支第一对角支 ST 段抬高性心肌梗死后 4 个月再次出现胸痛和呼吸困难。诊断为前基底左心室假性动脉瘤，并成功进行了手术治疗。术后 1 年，患者无心血管事件，纽约心脏协会心功能分级仍为 II 级。

结论

如果经胸超声心动图怀疑存在左心室假性动脉瘤，应进行心脏磁共振检查。对于左心室假性动脉瘤，手术是首选治疗方法，因为未治疗的病变破裂风险显著增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fed6/11083744/a8bffd35ed33/10.1177_02676591231160269-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fed6/11083744/85ca58b519e1/10.1177_02676591231160269-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fed6/11083744/29036418b5df/10.1177_02676591231160269-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fed6/11083744/d8ecffde0d63/10.1177_02676591231160269-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fed6/11083744/c3b1cb7ffa2f/10.1177_02676591231160269-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fed6/11083744/9157bc58304d/10.1177_02676591231160269-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fed6/11083744/e8b68d787278/10.1177_02676591231160269-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fed6/11083744/a8bffd35ed33/10.1177_02676591231160269-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fed6/11083744/85ca58b519e1/10.1177_02676591231160269-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fed6/11083744/29036418b5df/10.1177_02676591231160269-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fed6/11083744/d8ecffde0d63/10.1177_02676591231160269-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fed6/11083744/c3b1cb7ffa2f/10.1177_02676591231160269-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fed6/11083744/9157bc58304d/10.1177_02676591231160269-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fed6/11083744/e8b68d787278/10.1177_02676591231160269-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fed6/11083744/a8bffd35ed33/10.1177_02676591231160269-fig7.jpg

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本文引用的文献

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Left Ventricular Pseudoaneurysm: An Overview of Diagnosis and Management.左心室假性动脉瘤：诊断与治疗概述
J Investig Med High Impact Case Rep. 2018 Aug 2;6:2324709618792025. doi: 10.1177/2324709618792025. eCollection 2018 Jan-Dec.
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Surgical Treatment of Left Ventricular Pseudoaneurysm.左心室假性动脉瘤的外科治疗
Chin Med J (Engl). 2018 Jun 20;131(12):1496-1497. doi: 10.4103/0366-6999.233954.
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Clinical characteristics and outcomes of left ventricular pseudoaneurysm: A retrospective study in a single-center of China.左心室假性动脉瘤的临床特征与预后：一项中国单中心回顾性研究
Medicine (Baltimore). 2017 May;96(18):e6793. doi: 10.1097/MD.0000000000006793.
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Surgical treatment of post-infarction left ventricular pseudoaneurysm: Case series highlighting various surgical strategies.心肌梗死后左心室假性动脉瘤的外科治疗：突出多种手术策略的病例系列
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Transapical Transcatheter Closure of the Pseudoaneurysm in the Left Ventricular Outflow Tract After Aortic Valve Replacement.
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Left ventricular pseudoaneurysm - a challenging diagnosis.
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Left ventricular pseudoaneurysm versus aneurysm a diagnosis dilemma.左心室假性动脉瘤与真性动脉瘤：诊断难题
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