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[白塞病中的左心室假性动脉瘤和冠状动脉瘤]

[False aneurysm of the left ventricle and coronary aneurysms in Behçet disease].

作者信息

Rolland J M, Bical O, Laradi A, Robinault J, Benzidia R, Vanetti A, Herreman G

机构信息

Service de chirurgie cardiaque, hôpital Saint-Joseph, Paris.

出版信息

Arch Mal Coeur Vaiss. 1993 Sep;86(9):1383-5.

PMID:8129557
Abstract

A false left ventricular aneurysm and coronary artery aneurysm were discovered in a 29 year old patient with Behçet's syndrome. The operation under cardiopulmonary bypass consisted of closing the neck of the false aneurysm by an endo-aneurysmal approach with a Gore-Tex patch. The coronary artery aneurysms were respected. There were no postoperative complications. Cardiac involvement is rare in Behçet's syndrome (6%). The originality of this case is the association of two aneurysmal pathologies: the coronary and ventricular aneurysms due to the angiitis and the myocardial fragility induced by ischaemia.

摘要

在一名患有白塞病的29岁患者中发现了假性左心室动脉瘤和冠状动脉瘤。体外循环下的手术包括通过带Gore-Tex补片的瘤内入路封闭假性动脉瘤的颈部。冠状动脉瘤未作处理。术后无并发症。心脏受累在白塞病中较为罕见(6%)。该病例的独特之处在于两种动脉瘤病变的关联:由血管炎导致的冠状动脉和心室动脉瘤以及由缺血引起的心肌脆性。

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