左心室心尖假动脉瘤：病例报告意外诊断与处理

IF 0.2 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Pakistan Heart Journal Pub Date : 2023-12-31 DOI:10.47144/phj.v56i4.2649

Shakeela Naz, Mariam Naz, Parveen Akhter, Sabha Bhatti

{"title":"左心室心尖假动脉瘤：病例报告意外诊断与处理","authors":"Shakeela Naz, Mariam Naz, Parveen Akhter, Sabha Bhatti","doi":"10.47144/phj.v56i4.2649","DOIUrl":null,"url":null,"abstract":"Left ventricular pseudoaneurysm (LVPA) is a rare and life-threatening condition characterized by “an outpouching resulting from a rupture in the ventricular free wall.” We present a case with a history of myocardial infarction and left ventricular (LV) apical thrombus who presented with worsening dyspnea. Echocardiography revealed LVPA with bidirectional flow, confirmed by cardiac CT. He underwent successful surgical repair of LVPA and coronary artery bypass grafting. LVPA is associated with significant morbidity and mortality, so early diagnosis is crucial. This case report highlights the successful management of LVPA, underscoring the importance of prompt diagnosis and multidisciplinary care.","PeriodicalId":42273,"journal":{"name":"Pakistan Heart Journal","volume":" 3","pages":""},"PeriodicalIF":0.2000,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Left Ventricular Apical Pseudoaneurysm: A Case Report Incidental Diagnosis and Management\",\"authors\":\"Shakeela Naz, Mariam Naz, Parveen Akhter, Sabha Bhatti\",\"doi\":\"10.47144/phj.v56i4.2649\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Left ventricular pseudoaneurysm (LVPA) is a rare and life-threatening condition characterized by “an outpouching resulting from a rupture in the ventricular free wall.” We present a case with a history of myocardial infarction and left ventricular (LV) apical thrombus who presented with worsening dyspnea. Echocardiography revealed LVPA with bidirectional flow, confirmed by cardiac CT. He underwent successful surgical repair of LVPA and coronary artery bypass grafting. LVPA is associated with significant morbidity and mortality, so early diagnosis is crucial. This case report highlights the successful management of LVPA, underscoring the importance of prompt diagnosis and multidisciplinary care.\",\"PeriodicalId\":42273,\"journal\":{\"name\":\"Pakistan Heart Journal\",\"volume\":\" 3\",\"pages\":\"\"},\"PeriodicalIF\":0.2000,\"publicationDate\":\"2023-12-31\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Pakistan Heart Journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.47144/phj.v56i4.2649\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pakistan Heart Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.47144/phj.v56i4.2649","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}

引用次数: 0

摘要

左心室假性动脉瘤（LVPA）是一种罕见的危及生命的疾病，其特征是 "由心室游离壁破裂导致的袋口"。我们介绍了一例因呼吸困难加重而就诊的病例，患者曾有心肌梗死和左心室（LV）心尖血栓病史。超声心动图显示左心室心尖血栓形成，并伴有双向血流，心脏 CT 证实了这一点。他成功接受了 LVPA 手术修复和冠状动脉旁路移植术。LVPA 与严重的发病率和死亡率相关，因此早期诊断至关重要。本病例报告重点介绍了 LVPA 的成功治疗，强调了及时诊断和多学科护理的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Left Ventricular Apical Pseudoaneurysm: A Case Report Incidental Diagnosis and Management

Left ventricular pseudoaneurysm (LVPA) is a rare and life-threatening condition characterized by “an outpouching resulting from a rupture in the ventricular free wall.” We present a case with a history of myocardial infarction and left ventricular (LV) apical thrombus who presented with worsening dyspnea. Echocardiography revealed LVPA with bidirectional flow, confirmed by cardiac CT. He underwent successful surgical repair of LVPA and coronary artery bypass grafting. LVPA is associated with significant morbidity and mortality, so early diagnosis is crucial. This case report highlights the successful management of LVPA, underscoring the importance of prompt diagnosis and multidisciplinary care.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊