Hung M J, Wang C H, Cherng W J
Department of Internal Medicine, Chang Gung Memorial Hospital, Keelung, Taiwan.
Heart. 1998 Jul;80(1):94-7.
A 73 year old man developed a left ventricular pseudoaneurysm following acute myocardial infarction. Coronary angiography showed triple vessel disease with total occlusion of the right coronary artery. On left ventriculography, a serpentine-like pseudoaneurysm was demonstrated that originated from the posterobasal wall of the left ventricle and extended to the right ventricular free wall. He underwent coronary artery bypass surgery with no plication of the pseudoaneurysm. An organised thrombus was also found within the cavity of the pseudoaneurysm. He was doing well approximately eight months after the operation. The prognosis might be determined by the organised thrombus, the serpentine-like structure of pseudoaneurysm, the coronary revascularisation, and the vigorous medical management.
一名73岁男性在急性心肌梗死后出现左心室假性动脉瘤。冠状动脉造影显示三支血管病变，右冠状动脉完全闭塞。左心室造影显示一个蜿蜒状假性动脉瘤，起源于左心室后基底壁并延伸至右心室游离壁。他接受了冠状动脉搭桥手术，未对假性动脉瘤进行折叠处理。在假性动脉瘤腔内还发现了机化血栓。术后约八个月他情况良好。预后可能由机化血栓、假性动脉瘤的蜿蜒状结构、冠状动脉血运重建以及积极的药物治疗决定。
