没有先例心肌梗塞的左心室伪动脉瘤
Fahad Syed Naseerullah1, William Pyle2, Theodore Addai3
1Department of Internal Medicine, Houston Methodist Sugar Land Hospital, Houston, TX, USA.
Journal of cardiology cases
|June 26, 2023
概括
一种罕见的心脏病,左心室伪动脉瘤 (LVPA),可以在没有典型的危险因素的情况下发生. 这一案例突显了LVPA的成功手术治疗,即使是在不寻常的表现中.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
背景情况:
- 左心室伪动脉瘤 (LVPA) 是一种罕见的病症,由周围组织所包含的左心室自由壁破裂引起.
- LVPA通常与心肌梗塞有关,预后不佳,手术死亡率高.
研究的目的:
- 为了确定LVPA的临床表现,它可以从无症状到有症状的胸痛或呼吸障碍.
- 强调维护LVPA高怀疑指数的重要性,即使在缺乏典型风险因素的患者中也是如此.
- 讨论LVPA的个性化管理策略和手术的作用.
主要方法:
- 一个患有LVPA的患者的病例报告介绍.
- 对临床表现,诊断发现和治疗结果的审查.
- 根据当前的文献和临床指南,讨论管理选择.
主要成果:
- 该研究在没有通常的易感风险因素的患者中呈现了LVPA病例.
- 这位患者的手术干预成功.
- 这一案例强调了LVPA可以异常表现.
结论:
- LVPA需要高度的怀疑指数,特别是在异常呈现时.
- 对于LVPA的管理决策必须是个性化的.
- 尽管手术死亡率高,但手术干预仍然对大型,不断扩大的LVPA至关重要,需要进一步研究才能制定最终指南.
更多相关视频
相关概念视频
Aneurysm I: Introduction
16
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
16
Aortic Regurgitation I: Introduction
19
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
19
Coronary Circulation
3.0K
The heart, an organ critical to survival, gets nourishment not from the blood it pumps but from a separate circulation system known as coronary circulation. This is the shortest circulation in the body and is responsible for supplying the heart with the nutrients it needs to function effectively.
Coronary circulation begins at the base of the aorta, where two main arteries arise—the left and right coronary arteries. These arteries encircle the heart in the coronary sulcus and supply the...
Coronary circulation begins at the base of the aorta, where two main arteries arise—the left and right coronary arteries. These arteries encircle the heart in the coronary sulcus and supply the...
3.0K
Aortic Regurgitation II: Clinical Features and Diagnostic Tests
33
Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
33
Mitral Regurgitation I: Introduction
19
Mitral regurgitation is characterized by the backward circulation of blood from the left ventricle to the left atrium during systole, a phase of the cardiac cycle when the heart contracts and pumps blood out of the chambers. This abnormal flow occurs primarily due to the dysfunction of the mitral valve or its supporting structures, which include the mitral leaflets, chordae tendineae, annulus, and papillary muscles.Etiology and Mechanisms:Primary Mitral Regurgitation: This type arises from...
19
Mitral Stenosis I: Introduction
18
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
18


