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解读心肌梗死后左心室假性动脉瘤

Decoding Postinfarction Left Ventricular Pseudoaneurysm.

作者信息

Nguyen Emily K, Suksaranjit Promporn, Bashir Mohammad A, Firchau Dennis J, Gebska Milena A

机构信息

Department of Internal Medicine, Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA.

Division of Cardiovascular Medicine, Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA.

出版信息

JACC Case Rep. 2022 Nov 3;9:101533. doi: 10.1016/j.jaccas.2022.07.005. eCollection 2023 Mar 1.

DOI:10.1016/j.jaccas.2022.07.005
PMID:36909267
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9998713/
Abstract

Recognizing from left ventricular aneurysm after myocardial infarction is paramount to guide clinical management and determine need for surgical urgency. We discuss a case of a postinfarction pseudoaneurysm that poses unique anatomic challenges and may hold a secret "DaVinci code" beyond current diagnostic criteria. ().

摘要

识别心肌梗死后的左心室动脉瘤对于指导临床管理和确定手术紧迫性至关重要。我们讨论一例心肌梗死后假性动脉瘤病例，该病例带来了独特的解剖学挑战，可能隐藏着超出当前诊断标准的秘密“达芬奇密码”。（）

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df87/9998713/2640638c1eb2/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df87/9998713/e658b2dd632c/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df87/9998713/35149e5a166e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df87/9998713/76a52010e3a3/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df87/9998713/1740e86a776d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df87/9998713/45a9e14a1aaa/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df87/9998713/2640638c1eb2/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df87/9998713/e658b2dd632c/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df87/9998713/35149e5a166e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df87/9998713/76a52010e3a3/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df87/9998713/1740e86a776d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df87/9998713/45a9e14a1aaa/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df87/9998713/2640638c1eb2/gr5.jpg

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引用本文的文献

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本文引用的文献

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Myocardial Cut-off Sign is a Sensitive and Specific Cardiac Computed Tomography and Magnetic Resonance Imaging Sign to Distinguish Left Ventricular Pseudoaneurysms From True Aneurysms.心肌截断征是一种敏感且特异的心脏 CT 和磁共振成像征象，可用于区分左心室假性动脉瘤与真性动脉瘤。
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Circulation. 2012 Apr 17;125(15):1920-5. doi: 10.1161/CIRCULATIONAHA.111.043984.
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心肌梗死后假性动脉瘤的临床特征与转归
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Angiographic diagnosis of true and false LV aneurysms after inferior wall myocardial infarction.下壁心肌梗死后真性与假性左心室室壁瘤的血管造影诊断
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Rupture of heart complicating myocardial infarction. Analysis of 40 cases including nine examples of left ventricular false aneurysm.心肌梗死并发心脏破裂。40例分析，其中包括9例左心室假性动脉瘤。
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