Haïat R, Slama M, Desoutter P, Stoltz J P, Vacheron A, Guiomard A, Touche T, Gourgon R
Arch Mal Coeur Vaiss. 1982 Feb;75(2):225-9.
The authors report 3 cases of post-infarction left ventricular aneurysm with localised rupture into the pericardium. The patients (3 men aged 54, 58 and 67 years old) had left ventricular aneurysms (2 anterior, I posterior) which ruptured early, between the second and tenth week. All presented with cardiogenic shock. The diagnosis was made by 2D echocardiography (I case) or by pericardial aspiration and angiography (2 cases). Good results were obtained by surgical evacuation of the hemopericardium and resection of the ventricular aneurysm with a follow-up of 3 to 12 months. The rarity of these cases is underlined: only three other similar cases appear to have been previously reported.
作者报告了3例心肌梗死后左心室室壁瘤局部破裂入心包的病例。患者（3名男性，年龄分别为54岁、58岁和67岁）患有左心室室壁瘤（2例在前壁，1例在 后壁），均在第二至第十周内早期破裂。所有患者均出现心源性休克。诊断通过二维超声心动图（1例）或心包穿刺抽吸及血管造影（2例）做出。通过手术清除心包积血并切除心室室壁瘤取得了良好效果，随访时间为3至12个月。强调了这些病例的罕见性：此前似乎仅另有3例类似病例被报道。
