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頁籤選單縮合
題名 | Left Ventricular Pseudoaneurysm=成功治療左心室偽性動脈瘤 |
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作者 | 胡曉峰; 林致源; 蔡宜廷; 洪國峻; 蔡建松; Hu, Hsiao-feng; Lin, Chih-yuan; Tsai, Yi-ting; Hong, Gou-jieng; Tsai, Chien-sung; |
期刊 | Journal of Medical Sciences |
出版日期 | 20060200 |
卷期 | 26:1 民95.02 |
頁次 | 頁25-27 |
分類號 | 416.263 |
語文 | eng |
關鍵詞 | 偽性動脈瘤; 心臟; Cardiac rupture; False aneurysm; Myocardial infarction; Pseudoaneurysm; |
英文摘要 | 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. |
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