Rittenhouse E A, Sauvage L R, Mansfield P B, Smith J C, Davis C C, Hall D G
Ann Surg. 1979 Apr;189(4):409-15.
False aneurysms of the left ventricle were repaired in four patients (average age, 61 years). The etiology was myocardial infarction in three patients and disruption of an apical left ventricular cannulation site in the fourth. The interval from initiating event to surgery averaged 11 months. One patient was in cardiogenic shock and succumbed in the operating room from myocardial failure. The other three patients, in functional class III at the time of surgery, survived and are currently asymptomatic. The literature records 43 patients who have undergone surgical repair of a false aneurysm of the left ventricle. The causes were myocardial infarction (12 patients), operative injury (13 patients), penetrating trauma (11 patients), and blunt trauma (seven patients). Twenty-seven (63%) were under the age of 50 years. In those who were limited by symptoms, congestive heart failure predominated. Forty seven per cent of the patients were operated upon in the first five months following the initiating event; 61% within the first year. Only four patients underwent surgery more than 48 months after the myocardial insult. Thrombus was present in 28% of the aneurysms. Morbidity was recorded in nine patients, and six patients (14%) died. This study documents the necessity for early surgical repair and the relatively low operative mortality obtained with this lethal lesion.
4例患者（平均年龄61岁）接受了左心室假性动脉瘤修复术。病因方面，3例患者为心肌梗死，第4例患者为左心室心尖插管部位破裂。从起始事件至手术的间隔时间平均为11个月。1例患者出现心源性休克，在手术室因心肌衰竭死亡。另外3例患者手术时心功能分级为Ⅲ级，存活且目前无症状。文献记载了43例接受左心室假性动脉瘤手术修复的患者。病因包括心肌梗死（12例）、手术损伤（13例）、穿透性创伤（11例）和钝性创伤（7例）。其中27例（63%）年龄在50岁以下。在有症状的患者中，以充血性心力衰竭为主。47%的患者在起始事件后的前5个月接受手术；61%在第1年内接受手术。只有4例患者在心肌损伤后48个月以上接受手术。28%的动脉瘤内存在血栓。9例患者出现并发症，6例患者（14%）死亡。本研究证明了早期手术修复的必要性以及针对这种致命病变所获得的相对较低的手术死亡率。
