梗死后室间隔穿孔修补术后伴有左向右分流的延迟性巨大假动脉瘤

IF 0.9 4区医学

Texas Heart Institute Journal Pub Date : 2023-12-06 DOI:10.14503/THIJ-23-8269

Yojiro Machii, Makoto Taoka, Yuki Hayashi, Atsushi Harada, Keita Kamata, Masashi Tanaka

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引用次数: 0

摘要

左心室假性动脉瘤伴左向右分流极为罕见，如果有症状则需要手术治疗，但手术风险很高。本文报告了一例 77 岁男性患者的病例，该患者因急性心肌梗死导致室间隔穿孔修补术，术后 16 个月出现巨大的左心室假性动脉瘤，假性动脉瘤向右心室轻度分流血流。术中发现，最初手术时固定补片的区域出现游离壁破裂。患者于术后第 13 天出院，术后检查未发现异常。

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Delayed Giant Pseudoaneurysm With Left-to-Right Shunt Following Postinfarct Ventricular Septal Perforation Repair.

Left ventricular pseudoaneurysm with a left-to-right shunt is extremely rare, requiring surgery if symptomatic; however, surgery has a high risk. Here, the case of a 77-year-old man with heart failure symptoms is reported, in which he develops a giant left ventricular pseudoaneurysm 16 months after ventricular septal perforation repair as a result of acute myocardial infarction, with mild shunt blood flow from the pseudoaneurysm to the right ventricle. Intraoperative findings showed a free wall rupture along the area where the patch was secured during the initial surgery. The patient was discharged on postoperative day 13, and postoperative examination revealed no abnormalities.

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来源期刊

Texas Heart Institute Journal CARDIAC & CARDIOVASCULAR SYSTEMS-

自引率

11.10%

发文量

131

期刊介绍： For more than 45 years, the Texas Heart Institute Journal has been published by the Texas Heart Institute as part of its medical education program. Our bimonthly peer-reviewed journal enjoys a global audience of physicians, scientists, and healthcare professionals who are contributing to the prevention, diagnosis, and treatment of cardiovascular disease. The Journal was printed under the name of Cardiovascular Diseases from 1974 through 1981 (ISSN 0093-3546). The name was changed to Texas Heart Institute Journal in 1982 and was printed through 2013 (ISSN 0730-2347). In 2014, the Journal moved to online-only publication. It is indexed by Index Medicus/MEDLINE and by other indexing and abstracting services worldwide. Our full archive is available at PubMed Central. The Journal invites authors to submit these article types for review: -Clinical Investigations- Laboratory Investigations- Reviews- Techniques- Coronary Anomalies- History of Medicine- Case Reports/Case Series (Submission Fee: $70.00 USD)- Images in Cardiovascular Medicine (Submission Fee: $35.00 USD)- Guest Editorials- Peabody’s Corner- Letters to the Editor