Shabalkin B V, Belov Iu V
Kardiologiia. 1984 Jun;24(6):45-9.
A total of 93 patients with post-infarction aneurysm of the left ventricle were observed; eight (8.6%) of them showed no atherosclerotic damage to the coronary arteries as judged by the findings provided by selective cinocoronarography and the inspection of the arteries during surgery. All patients had a history of a macrofocal transmural myocardial infarction of the left ventricle anterior wall. In one case the coronary arteries were intact. Four patients (group I) presented an angiographic picture of the recanalized thrombus of the anterior interventricular artery (AIVA). Three patients (group II) showed uniform stenosis of the AIVA with the impoverishment of its distal portions. The contractility parameters were worse in the group I patients whereas the clinical manifestations of angina were more pronounced in the group II patients.
共观察了93例左心室梗死后期动脉瘤患者；根据选择性冠状动脉造影结果和手术中对动脉的检查判断，其中8例（8.6%）未显示冠状动脉存在动脉粥样硬化损伤。所有患者均有左心室前壁大片透壁性心肌梗死病史。1例患者冠状动脉完整。4例患者（第一组）呈现出室间前动脉（AIVA）再通血栓的血管造影图像。3例患者（第二组）显示AIVA均匀狭窄，其远端部分血流减少。第一组患者的收缩功能参数较差，而第二组患者心绞痛的临床表现更为明显。
