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[左心室假性动脉瘤。2例的非侵入性诊断]

[Pseudo-aneurysm of the left ventricle. Non-invasive diagnosis of 2 cases].

作者信息

Gavazzi A, Cornalba C, Raisaro A, Specchia G, Montemartini C, Di Guglielmo L, Cornalba G P

出版信息

G Ital Cardiol. 1985 Mar;15(3):343-8.

PMID:4018478
Abstract

Left ventricular pseudoaneurysm is a rare condition which may develop after rupture of the ventricular myocardial wall. A localized hemopericardium confined is then formed outlined by the parietal pericardium. The pseudoaneurysmal sac is formed by clots and fibrous pericardial tissue and is directly connected to the ventricular chamber. There are no specific clinical signs to identify the disease. Two dimensional echocardiography and computerized tomography can allow the correct diagnosis to be made before cardiac catheterization. Two cases of left ventricular pseudoaneurysm occurring one after chest trauma and the other after acute myocardial infarction are reported.

摘要

左心室假性动脉瘤是一种罕见的病症,可能在心室心肌壁破裂后形成。随后会形成一个由心包壁层包绕的局限性心包积血。假性动脉瘤囊由血栓和纤维心包组织构成,并直接与心室腔相连。没有特定的临床体征来识别这种疾病。二维超声心动图和计算机断层扫描能够在进行心导管检查之前做出正确诊断。本文报告了两例左心室假性动脉瘤病例,一例发生于胸部创伤后,另一例发生于急性心肌梗死后。

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