Yasuda H, Hosoi Y, Umemoto T, Takagi H, Fujita T, Iwase N, Sawanobori T
Division of Cardiovascular Surgery, Tosei National Hospital, Shizuoka, Japan.
Kyobu Geka. 1996 May;49(5):392-4.
Multiple pseudoaneurysms of the left ventricle following acute myocardial infarction were successfully repaired in a 50-year-old man. Three days after onset of acute myocardial infarction, we electively performed PTCA on the right coronary artery which was completely occluded at the proximal segment. One month after PTCA, the left ventriculogram revealed multiple pseudoaneurysms of the left ventricle. Primary closure of orifices of the pseudoaneurysms was performed using pledgeted mattress sutures under cardiopulmonary bypass. Histology of aneurysm confirmed the diagnosis of pseudoaneurysm.
一名50岁男性在急性心肌梗死后成功修复了左心室多发假性动脉瘤。急性心肌梗死发病三天后，我们对近端完全闭塞的右冠状动脉进行了选择性经皮冠状动脉腔内血管成形术（PTCA）。PTCA术后一个月，左心室造影显示左心室多发假性动脉瘤。在体外循环下使用带垫片的褥式缝线对假性动脉瘤开口进行了一期缝合。动脉瘤组织学检查确诊为假性动脉瘤。
