篇名 | Left Ventricular Pseudoaneurysm |
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卷期 | 26:1 |
作者 | Hsiao-Feng Hu 、 Chih-Yuan Lin 、 Yi-Ting Tsai 、 Gou-Jieng Hong 、 Chien-Sung Tsai |
頁次 | 025-028 |
關鍵字 | cardiac rupture 、 false aneurysm 、 myocardial infarction 、 pseudoaneurysm 、 MEDLINE 、 Scopus |
出刊日期 | 200602 |
A postmyocardial infarction left ventricular pseudoaneurysm occurs when a free wall rupture of the ventricle is contained by the overlying, adherent pericardium. Because patients frequently present with nonspecific symptoms, a high index of suspicion is needed to make the diagnosis. Although electrocardiography and chest X-ray abnormalities are always present, they are also usually nonspecific. Transthoracic echocardiography is a reasonable first step, and cardiac catheterization is the definitive test. Because of the pseudoaneurysm’s tendency to rupture, the treatment of choice is urgent surgical resection. We present a case of pseudoaneurysm of the inferior wall over the left ventricle diagnosed two years after a documented myocardial infarction; the patient underwent successful surgical intervention.