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[心肌梗死合并左心室后壁动脉瘤。经切除及双冠状动脉搭桥矫正。1年临床及血管造影随访]

[Myocardial infarct complicated by a posterior aneurysm of the left ventricle. Correction by resection and double coronary bypass. 1-year clinical and angiographic follow-up].

作者信息

Dor V, Lévy P, Schmitt R, Kreitmann P

出版信息

Arch Mal Coeur Vaiss. 1977 Mar;70(3):295-9.

PMID:404988
Abstract

5 months after a posterior infarction, a man of 48 was found to have a posterior aneurysm with right coronary thrombosis and anterior inter-ventricular stenosis. A total treatment approach (resection of the aneurysm + double bypass graft) led to a stable clinical cure, which has been monitored one year later by ventriculography and coronary arteriography. The authors make the comment, however, that in this case surgery was more in the way of a safety measure than a necessity.

摘要

在发生后壁心肌梗死后5个月,一名48岁男性被发现患有后壁动脉瘤,伴有右冠状动脉血栓形成和前室间狭窄。一种全面的治疗方法(动脉瘤切除术+双旁路移植术)带来了稳定的临床治愈效果,一年后通过心室造影和冠状动脉造影进行了监测。然而,作者评论说,在这种情况下,手术更多的是一种安全措施而非必要手段。

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