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[血管造影诊断左心室心肌梗死后室壁瘤在手术治疗选择中的重要性]

[Importance of the angiographic methods of diagnosing left ventricular postinfarct aneurysms in the choice of surgical treatment].

作者信息

Petrosian Iu S, Shakhov B E

出版信息

Kardiologiia. 1982 Jan;22(1):18-21.

PMID:7062584
Abstract

Complete clinical and X-ray examination including catheterization of the heart cavities and selective coronarography was conducted in 116 patients suffering from postinfarction aneurysm of the heart. In 97.4% of cases the aneurysm of the heart was localized in the basin of the anterior interventricular branch of the left coronary artery. The size of the aneurysm was determined by the extent of affection of the coronary channel expresses as an overall value. Particular attention was focused on the study of the functional potentialities of the intact port of the left-ventricular myocardium. It is concluded that it is expedient to perform the operation for aortocoronary shunting to the affected arteries supplying blood to the part of the left-ventricular myocardium which is not involved in the aneurysm, so as to improve the function of the left ventricle after resection of the aneurysm.

摘要

对116例心肌梗死后心脏动脉瘤患者进行了全面的临床和X线检查,包括心脏腔室导管插入术和选择性冠状动脉造影。在97.4%的病例中,心脏动脉瘤位于左冠状动脉前室间支供血区域。动脉瘤的大小由冠状动脉受累程度决定,以总值表示。特别关注了左心室心肌完整部分的功能潜力研究。得出的结论是,对向未累及动脉瘤的左心室心肌部分供血的受累动脉进行主动脉冠状动脉分流手术是适宜的,以便在切除动脉瘤后改善左心室功能。

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1
[Importance of the angiographic methods of diagnosing left ventricular postinfarct aneurysms in the choice of surgical treatment].[血管造影诊断左心室心肌梗死后室壁瘤在手术治疗选择中的重要性]
Kardiologiia. 1982 Jan;22(1):18-21.
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