Kolibash A J, Magorien R D, Bush C A, Vasko J S
Cathet Cardiovasc Diagn. 1982;8(4):409-17. doi: 10.1002/ccd.1810080411.
This report describes a patient who survived rupture of the left ventricular free wall following a myocardial infarction and who then subsequently went on to develop a pseudoaneurysm. The rupture became clinically recognized when the patient developed cardiac tamponade. A large hemopericardium was evacuated by performing a thoracotomy and a pericardiotomy. Although not evident at the time of the initial catheterization, a pseudoaneurysm developed over the ensuing months. The aneurysm was initially recognized by radionuclide angiography and confirmed by left ventricular angiography at a second cardiac catheterization. The aneurysm was successfully resected, and the patient was alive and functioning normally 18 months after rupture and 12 months after aneurysmectomy.
本报告描述了一名心肌梗死后左心室游离壁破裂但存活下来的患者，该患者随后又发展为假性动脉瘤。当患者出现心脏压塞时，破裂在临床上得到确认。通过开胸手术和心包切开术排出了大量心包积血。尽管在初次心导管检查时不明显，但在随后的几个月里出现了假性动脉瘤。该动脉瘤最初通过放射性核素血管造影术得以识别，并在第二次心导管检查时通过左心室血管造影术得到证实。动脉瘤被成功切除，患者在破裂后18个月和动脉瘤切除术后12个月时仍存活且功能正常。
