Watarida S, Onoe M, Sugita T, Nojima T, Katsuyama K, Nakajima Y, Yamamoto R, Tabata R, Matsuno S, Mori A
Second Department of Surgery, Shiga University of Medical Science, Otsu, Japan.
J Cardiovasc Surg (Torino). 1996 Dec;37(6):635-7.
The patient was a 64-year-old man who was treated surgically for an infarct-related ventricular septal perforation. Pseudoaneurysm of the left ventricle was recognized on the 38th postoperative day. Emergency surgery was performed. It seemed that insufficient resection of the infarcted myocardium was performed during the initial surgery to avoid narrowing the ventricular dimension by direct closure of the left ventricle, but this resulted in pseudoaneurysm of the left ventricle. Left ventricular free wall plasty with a patch should be performed during the initial surgery.
该患者为一名64岁男性，因梗死相关的室间隔穿孔接受了手术治疗。术后第38天发现左心室假性动脉瘤。遂进行了急诊手术。初次手术时，为避免直接缝合左心室导致心室腔狭窄，对梗死心肌的切除似乎不充分，而这导致了左心室假性动脉瘤的形成。初次手术时应采用补片进行左心室游离壁成形术。
