Bernard F, Monsegu J, Chabrun A, Plotton C, Dubayle P, Ollivier J P
Service de cardiologie, hôpital d'instruction des armées du Val-de-Grâce, Paris.
Arch Mal Coeur Vaiss. 1998 Jun;91(6):765-9.
Left ventricular pseudo-aneurysm is a rare complication of myocardial infarction, usually of the inferior wall. It is generally a sudden event due to rupture of the heart which is contained by the pericardium. The outcome is usually rapidly fatal by secondary rupture or adiastole. The authors report a case of pseudo-aneurysm of the left ventricle measuring 3.5 cm in diameter observed following a small inferior wall myocardial infraction in a diabetic patient with a history of inferior wall myocardial infarction 38 years previously. This case is interesting because of the silent character of the pseudo-aneurysm, very probably complicating the previous infarct.
左心室假性动脉瘤是心肌梗死的一种罕见并发症，通常发生于下壁。它一般是由于心脏破裂但被心包包裹而突然发生的事件。其结局通常因继发性破裂或心脏停搏而迅速致命。作者报告了一例左心室假性动脉瘤病例，该假性动脉瘤直径为3.5厘米，在一名有38年前下壁心肌梗死病史的糖尿病患者发生小面积下壁心肌梗死后被发现。该病例很有意思，因为假性动脉瘤具有隐匿性，很可能是先前梗死灶的并发症。
