Decoding Postinfarction Left Ventricular Pseudoaneurysm.

梗死后左心室假性动脉瘤的解码。

• 发表时间: Mar 2023 1
• 来源期刊: JACC Case Rep
• DOI: 10.1016/j.jaccas.2022.07.005
• PMID: 36909267
• 文章类型: Case Reports
• 作者列表: Nguyen EK,Suksaranjit P,Bashir MA,Firchau DJ,Gebska MA

关键词: CMR, cardiac magnetic resonance; HRCT, high-resolution cardiac computed tomography; LV, left ventricle, left ventricular; MI, myocardial infarction; TTE, transthoracic echocardiography; acute myocardial infarction; complications; coronary artery disease; pseudoaneurysm

Abstract

Recognizing true from pseudo left ventricular aneurysm after myocardial infarction is paramount to guide clinical management and determine need for surgical urgency. We discuss a case of a postinfarction pseudoaneurysm that poses unique anatomic challenges and may hold a secret \"DaVinci code\" beyond current diagnostic criteria. (Level of Difficulty: Advanced.).

摘要

从心肌梗死后的假性左心室动脉瘤中认识到真实对于指导临床管理和确定手术紧迫性的需求至关重要。我们讨论了一个梗塞后假性动脉瘤的病例，该病例提出了独特的解剖挑战，并且可能拥有超出当前诊断标准的秘密“达芬奇密码”。（难度等级：高级。).