Left Ventricular Pseudo-aneurysm with Ventricular Septal Rupture Due to Anterior ST-segment Elevation Myocardial Infarction

被引：4

作者：

Shimono, Hirokazu ^{[1
]}

Kajiya, Takashi ^{[1
]}

Inoue, Hironori ^{[2
]}

Ueno, Masahiro ^{[2
]}

Takaoka, Junichiro ^{[1
]}

Atsuchi, Yoshihiko ^{[1
]}

Atsuchi, Nobuhiko ^{[1
]}

Ohishi, Mitsuru ^{[3
]}

机构：

[1] Tenyoukai Cent Hosp, Dept Cardiol, Kagoshima, Japan

[2] Tenyoukai Cent Hosp, Dept Cardiovasc Surg, Kagoshima, Japan

[3] Kagoshima Univ, Dept Cardiovasc Med & Hypertens, Kagoshima, Japan

来源：

INTERNAL MEDICINE | 2019年 / 58卷 / 13期

关键词：

left ventricular pseudo-aneurysm; ventricular septal rupture; ST-segment elevation myocardial infarction; PSEUDOANEURYSM; DIAGNOSIS;

D O I：

10.2169/internalmedicine.2147-18

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We report a case with the simultaneous occurrence of pseudo-aneurysm of the left ventricle and ventricular septal rupture, which was successfully surgically repaired. A 77-year-old woman with a history of aortic valve replacement and coronary bypass graft presented to our clinic due to chest pain. She was diagnosed with anterior ST-segment elevation myocardial infarction (STEMI) based on an electrocardiogram. Echocardiography revealed pseudo-aneurysm of the left ventricle and ventricular septal rupture. Coronary angiography revealed 99% stenosis with delayed contrast filling in the mid left anterior descending artery. Surgical repair with a bovine pericardium patch was performed, and the postoperative course was uneventful.

引用

页码：1901 / 1905

页数：5

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