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一例演变为管腔化并酷似左心室假性动脉瘤的巨大左心室血栓:一项超声心动图研究

A large left ventricular thrombus evolving towards canalization and mimicking a left ventricular pseudoaneurysm: an echocardiographic study.

作者信息

Badano L, Piazza R, Bisignani G, Nicolosi G L

机构信息

Cardiologia A.R.C., Ospedale Civile, Pordenone, Italy.

出版信息

J Am Soc Echocardiogr. 1993 Jul-Aug;6(4):446-8. doi: 10.1016/s0894-7317(14)80243-5.

DOI:10.1016/s0894-7317(14)80243-5
PMID:8217211
Abstract

We describe a case of a large apical left ventricular thrombus evolving towards canalization and showing echocardiographic features mimicking a left ventricular pseudoaneurysm. Only serial echocardiographic studies allowed an appreciation of the changing morphologic features of the apical structure, permitting differential diagnosis between a canalization of an evolving thrombus and a myocardial free-wall rupture with pseudoaneurysm formation.

摘要

我们描述了一例巨大的心尖部左心室血栓向管腔化发展的病例,其超声心动图特征类似于左心室假性动脉瘤。只有通过连续的超声心动图检查才能了解心尖部结构不断变化的形态学特征,从而对正在演变的血栓管腔化与心肌游离壁破裂伴假性动脉瘤形成进行鉴别诊断。

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