Steiner I, Pleskot J, Vojtísek P
Cesk Patol. 1983 Feb;19(1):20-6.
Rupture of the left ventricle in an infarction is nearly always ensued by a massive pericardiac haemorrhage and sudden death of cardiac tamponade. Quite exceptionally, haemorrhage can be confined in pericardiac adhesions which is followed by a pseudoaneurysm. Case of a 62 year old man is depicted who deceased suddenly 7 months after an acute posterior wall heart infarction. A voluminous pseudoaneurysm was found at the ruptured posterior wall of the left ventricle. Retrospective clinical evaluation fixed the heart rupture on the 10th day after infarction.
左心室在梗死时破裂几乎总会继发大量心包出血和心脏压塞猝死。非常罕见的是,出血可被局限于心包粘连内,随后形成假性动脉瘤。本文描述了一名62岁男性的病例,他在急性后壁心肌梗死后7个月突然死亡。在左心室破裂的后壁发现一个巨大的假性动脉瘤。回顾性临床评估确定心脏破裂发生在梗死第10天。