Coulibaly A O, Ouattara K, Ekra A, Charles D, Chauvet J, Metras D
Med Trop (Mars). 1984 Apr-Jun;44(2):159-64.
The authors report the first case in the literature of a post-infarction left ventricular (LV) aneurysm operated in a black African man of 31 years. The episode of infarction had been ignored, and the patient presented a posterior LV aneurysm with moderate mitral insufficiency and heart failure. The diagnosis was made by a cineangiogram in the LV and a coronary angiogram showing a total obliteration of the right coronary. The patient underwent a resection of the aneurysm with closure of the LV-aneurysm communication. Six months after surgery, the patient was asymptomatic and the size of the heart had decreased. With regard to this unique case, the authors discuss the literature on LV aneurysms in African, and on coronary atherosclerosis in Africa. They discuss also the surgical indication in case of post-infarction LV aneurysm.
作者报告了文献中首例31岁非洲黑人男性因心肌梗死后左心室（LV）动脉瘤接受手术的病例。梗死发作被忽视，患者出现后侧壁左心室动脉瘤，伴有中度二尖瓣关闭不全和心力衰竭。通过左心室电影血管造影和冠状动脉造影确诊，冠状动脉造影显示右冠状动脉完全闭塞。患者接受了动脉瘤切除术并关闭了左心室动脉瘤通道。术后六个月，患者无症状，心脏大小减小。关于这一独特病例，作者讨论了非洲人左心室动脉瘤以及非洲冠状动脉粥样硬化的相关文献。他们还讨论了心肌梗死后左心室动脉瘤的手术指征。
