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心脏磁共振成像在既往心肌梗死所致左心室假性动脉瘤诊断与治疗中的应用:两例报告

Cardiac MRI in the diagnosis and management of left ventricular pseudoaneurysms with previous myocardial infarction: A report of two cases.

作者信息

Gupta Shagun, Ankush Ankush, Gandhi Prateek, Gupta Vivek

机构信息

LN Medical College and JK Hospital, Kolar Road, Bhopal, Madhya Pradesh, India.

Government Medical College, Near Hanuman Nagar, Nagpur, Maharashtra, India.

出版信息

Radiol Case Rep. 2024 Jul 23;19(10):4242-4247. doi: 10.1016/j.radcr.2024.07.007. eCollection 2024 Oct.

DOI:10.1016/j.radcr.2024.07.007
PMID:39135675
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11318547/
Abstract

A left ventricular pseudoaneurysm, an ominous consequence of acute myocardial infarction, poses a significant threat to patient well-being. Prompt and accurate diagnosis is crucial for improving patient outcomes. This report describes diagnostic imaging findings for identifying left ventricular pseudoaneurysms, emphasizing the critical role of cardiac magnetic resonance imaging alongside other modalities. We present two cases of patients with a history of myocardial infarction who presented with palpitations, chest pain, and shortness of breath. Initial 2D echocardiography in both patients revealed aneurysmal dilation of the left ventricle. Cardiac MRI was then performed, confirming the diagnosis in both cases.

摘要

左心室假性动脉瘤是急性心肌梗死的一个严重后果,对患者的健康构成重大威胁。及时准确的诊断对于改善患者预后至关重要。本报告描述了用于识别左心室假性动脉瘤的诊断性影像学检查结果,强调了心脏磁共振成像与其他检查方法相比的关键作用。我们报告了两例有心肌梗死病史的患者,他们出现心悸、胸痛和呼吸急促症状。两名患者最初的二维超声心动图均显示左心室呈瘤样扩张。随后进行了心脏磁共振成像检查,确诊了这两例病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a82e/11318547/19fff11b1b23/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a82e/11318547/511c1b7a8ca8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a82e/11318547/28631afabea6/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a82e/11318547/221a12b56d15/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a82e/11318547/9b6ffb58f622/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a82e/11318547/58e6e145104e/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a82e/11318547/19fff11b1b23/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a82e/11318547/511c1b7a8ca8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a82e/11318547/28631afabea6/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a82e/11318547/221a12b56d15/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a82e/11318547/9b6ffb58f622/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a82e/11318547/58e6e145104e/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a82e/11318547/19fff11b1b23/gr6.jpg

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本文引用的文献

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Cardiac Outpouchings: Definitions, Differential Diagnosis, and Therapeutic Approach.心脏憩室:定义、鉴别诊断及治疗方法
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