Shalev Y, Vidne B, Snir E, Kracoff O H, Oetinger M, Caspi A
Heart Institute, Kaplan Hospital, Rehovot, Israel.
Cathet Cardiovasc Diagn. 1993 Oct;30(2):153-5. doi: 10.1002/ccd.1810300214.
Left main pseudoaneurysm is a rare angiographic finding in young adults. We describe a 23-year-old male who presented with an acute anterior wall myocardial infarction. Coronary angiography and transesophageal echocardiography reveal a huge aneurysm of the distal left main obstructing the left anterior descending artery (LAD), which was defined by history as a pseudoaneurysm. The pseudoaneurysm was successfully resected and mammary artery was used to repair the distal left main and to bypass the LAD.
左主干假性动脉瘤在年轻成年人中是一种罕见的血管造影表现。我们描述了一名23岁男性，他因急性前壁心肌梗死就诊。冠状动脉造影和经食管超声心动图显示左主干远端有一个巨大动脉瘤，阻塞了左前降支动脉（LAD），根据病史诊断为假性动脉瘤。该假性动脉瘤被成功切除，并用乳内动脉修复左主干远端并绕过LAD。
