Shevchenko Iu L, Borisov I A, Bozhenko S A
Vestn Khir Im I I Grek. 1997;156(5):70-3.
A conclusion about the hemodynamic significance of aneurysm having the area of more than 30% of the left ventricle surface is made on the basis of an analysis of the pre- and post-operative parameters of the myocardium contractility and hemodynamic indices in 49 patients with postinfarction aneurysm of the left ventricle (main group) and 26 patients with ischemic heart disease without this complication (control group). Formation of the syndrome of chronic insufficiency of blood circulation in hemodynamically insignificant aneurysm results from ischemia of the myocardium, rather than the aneurysm as such. Improvement of blood supply to the myocardium as a result of its revascularization in such patients led to normalization of the left ventricle geometry.
基于对49例左心室心肌梗死后动脉瘤患者（主要组）和26例无此并发症的缺血性心脏病患者（对照组）心肌收缩力和血流动力学指标的术前及术后参数分析，得出了关于面积超过左心室表面30%的动脉瘤的血流动力学意义的结论。血流动力学无显著意义的动脉瘤中慢性血液循环不足综合征的形成是由心肌缺血导致的，而非动脉瘤本身。此类患者心肌血运重建后心肌供血改善，使左心室几何形态恢复正常。
