心脏假性动脉瘤：临床病例系列
Cardiac pseudoaneurysms: a clinical case series.
作者信息
Alexander Grace, Ashwath Mahi L
机构信息
Department of Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.
Division of Cardiovascular Medicine, Department of Internal Medicine, University of Iowa Hospitals and Clinics, 200 Hawkins Dr, Iowa City, IA 52242, USA.
出版信息
Eur Heart J Case Rep. 2023 Dec 23;8(1):ytad636. doi: 10.1093/ehjcr/ytad636. eCollection 2024 Jan.
BACKGROUND
Cardiac pseudoaneurysms are a potentially life-threatening pathology with a variety of non-specific clinical manifestations. This case series uniquely shares a collection of rare pathologies with differing preceding risk factors and presentations, with an emphasis on the utility of multi-modality imaging in diagnosis and management.
CASE SUMMARY
We present three cases of cardiac pseudoaneurysms. Case 1 is a 27-year-old woman with delayed presentation of a traumatic left ventricular pseudoaneurysm (LVP). Case 2 is a 73-year-old man with post-myocardial infarction LVP. Case 3 is a 38-year-old man with left ventricular outflow tract pseudoaneurysm after aortic valve replacement.
DISCUSSION
Cardiac pseudoaneurysms are rare and important to diagnose in a timely manner. Advances in non-invasive imaging modalities have improved our ability to distinguish pseudoaneurysms from other pathologies, leading to more timely management.
背景
心脏假性动脉瘤是一种潜在的危及生命的病理学疾病，具有多种非特异性临床表现。本病例系列独特地汇集了一系列罕见的病理学疾病，其具有不同的先前危险因素和表现形式，重点在于多模态成像在诊断和管理中的实用性。
病例总结
我们呈现三例心脏假性动脉瘤病例。病例1是一名27岁女性，创伤性左心室假性动脉瘤（LVP）出现延迟。病例2是一名73岁男性，患有心肌梗死后LVP。病例3是一名38岁男性，在主动脉瓣置换术后发生左心室流出道假性动脉瘤。
讨论
心脏假性动脉瘤较为罕见，及时诊断很重要。非侵入性成像模式的进展提高了我们区分假性动脉瘤与其他病理学疾病的能力，从而实现更及时的管理。
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