Katz E S, Applebaum R M, Pierson C, Chinitz L, Colvin S B, Kronzon I
Department of Medicine, New York University Medical Center, New York 10016, USA.
Cathet Cardiovasc Diagn. 1996 May;38(1):96-9. doi: 10.1002/(SICI)1097-0304(199605)38:1<96::AID-CCD23>3.0.CO;2-P.
Surgical treatment of left ventricular aneurysms have recently focused on maintaining normal left ventricular geometry by using a circular patch repair to exclude the aneurysmal cavity (endoaneurysmorrhaphy). We describe two patients who underwent this procedure and were subsequently found by echocardiography and angiography to have a residual communication between the left ventricular cavity and the aneurysm which contained thrombus. This finding may have implications regarding the optimal hemodynamic result of the surgery and the risk of thromboembolism.
左心室室壁瘤的外科治疗近来着重于通过使用环形补片修补术以排除瘤腔（心内膜瘤缝术）来维持正常的左心室形态。我们描述了两名接受该手术的患者，随后经超声心动图和血管造影发现，左心室腔与含有血栓的室壁瘤之间存在残余交通。这一发现可能对手术的最佳血流动力学结果以及血栓栓塞风险具有重要意义。
