Yeşildağ O, Ornek E, Kandemir B, Sağkan O, Yüksel M
Department of Cardiology, Faculty of Medicine, University of Ondokuz Mayis, Samsun, Turkey.
Acta Cardiol. 1993;48(4):385-93.
A 52-year-old man was admitted to hospital emergency room with cardiogenic shock. The electrocardiogram showed normal tracing. Left ventricular aneurysm rupture at the posterolateral wall and haemopericardium was diagnosed with two-dimensional and colour Doppler echocardiography. The patient was operated on immediately and the defect was repaired. The patient made a good recovery. Four months later coronary angiography and left ventriculography were performed. The coronary vessels were found patent and there was minimal stenosis (lesser than 50%) at the proximal 1/3 portion of left anterior descending (LAD) artery. Left ventriculography showed anterolateral and posterolateral hypokinesis. The patient was symptom free and leading an active life 4 months later.
一名52岁男性因心源性休克入住医院急诊室。心电图显示正常。经二维和彩色多普勒超声心动图诊断为左心室后外侧壁动脉瘤破裂并心包积血。患者立即接受手术，缺损得以修复。患者恢复良好。四个月后进行了冠状动脉造影和左心室造影。发现冠状动脉血管通畅，左前降支（LAD）动脉近端1/3处有轻微狭窄（小于50%）。左心室造影显示前外侧和后外侧运动减弱。四个月后患者无症状，生活积极。
