Takazawa A, Akiyama K, Hirota J, Nagumo T, Sasaki S
Department of Cardiovascular Surgery, Iwaki Kyouritsu General Hospital, Fukushima, Japan.
Jpn J Thorac Cardiovasc Surg. 1998 Sep;46(9):939-42. doi: 10.1007/BF03217850.
The present paper reports a successful surgical treatment of a 47-year-old male with a pseudoaneurysm of the left ventricle. The patient has also been administered Penicillin G for 5 months to treat endocarditis. Cardiac catheterization showed severe aortic stenosis and a pseudoaneurysm of the left ventricle which was dilating in systole. The patient underwent patch closure of the pseudoaneurysm whose ostium was situated at the miral-aortic inter valvular fibrosa followed by aortic valve replacement and direct closure of a right Valsalva sinus aneurysm. His postoperative course was uneventful. The patient had no recurrence of endocarditis nor malfunction of the prosthetic valve for one year postsurgery. This is the first report in Japan of successful surgical treatment of a pseudoaneurysm of the left ventricle due to perforation of the miral-aortic intervalvular fibrosa after endocarditis.
本文报道了一例成功手术治疗47岁左心室假性动脉瘤男性患者的病例。该患者还接受了5个月的青霉素G治疗以治疗心内膜炎。心导管检查显示严重主动脉瓣狭窄及左心室假性动脉瘤，该假性动脉瘤在收缩期扩张。患者接受了假性动脉瘤修补术，其开口位于二尖瓣 - 主动脉瓣间纤维组织，随后进行主动脉瓣置换及右冠窦瘤直接闭合术。术后过程顺利。术后一年，患者心内膜炎未复发，人工瓣膜也未出现功能障碍。这是日本首例关于心内膜炎后二尖瓣 - 主动脉瓣间纤维组织穿孔导致左心室假性动脉瘤成功手术治疗的报道。
