Isomatsu Y, Sakai A, Maki S, Akishima S, Kasahara S, Ohsawa M
Department of Cardiovascular Surgery, Seirei Hamamatsu General Hospital, Japan.
Kyobu Geka. 1993 Jul;46(7):575-9.
We report two non-surgical cases of pseudoaneurysm of the left ventricle after mitral valve replacement. Two patients underwent uncomplicated mitral valve replacement with Ionescu-Shiley and Carpentier-Edwards bioprosthesis respectively, and both had good early postoperative course with no symptoms. Left ventriculogram one month after operation showed subvalvular pseudoaneurysm of the left ventricle in both patients. Two patients were in New York Heart Association Functional Class I with digitalis and diuretics and have left ventriculogram had done five years postoperatively. Pseudoaneurysm of the left ventricle without a surgical repair disappeared in one patient, and revealed no enlargement in the other. There still remain controversies regarding the treatment of pseudoaneurysm of the left ventricle following mitral valve replacement.
我们报告了两例二尖瓣置换术后左心室假性动脉瘤的非手术病例。两名患者分别接受了使用Ionescu-Shiley和Carpentier-Edwards生物假体的无并发症二尖瓣置换术，术后早期过程均良好，无任何症状。术后一个月的左心室造影显示两名患者均有左心室瓣膜下假性动脉瘤。两名患者均为纽约心脏协会心功能I级，服用洋地黄和利尿剂，并在术后五年进行了左心室造影。其中一名患者未经手术修复的左心室假性动脉瘤消失，另一名患者的假性动脉瘤未增大。二尖瓣置换术后左心室假性动脉瘤的治疗仍存在争议。
