左心室伪假动脉瘤穿透右心室:两个病例报告
Hiroki Moriuchi1, Masaaki Koide2, Yoshifumi Kunii2
1Department of Cardiovascular Surgery, Seirei Hamamatsu Hospital, Shizuoka, Japan. porimori22@gmail.com.
General Thoracic and Cardiovascular Surgery Cases
|November 9, 2024
概括
左心室 (LV) 伪假动脉瘤穿孔右心室 (RV) 的手术修复至关重要. 及时干预可以预防致命的并发症,并改善患者的治疗结果.
科学领域:
- 心血管外科心血管外科
- 心脏病理学心脏病理学
背景情况:
- 左心室 (LV) 伪假动脉瘤是心肌梗塞的罕见致命并发症.
- 穿孔到右心室 (RV) 可以导致急性心力衰竭.
研究的目的:
- 描述了手术修复两例LV伪假动脉瘤穿孔RV的情况.
主要方法:
- 通过LV切口进行手术修复,用直接或心脏周围部贴片关闭RV孔.
- 动脉瘤修复使用牛心周和/或达克伦贴片.
主要成果:
- 在这两种情况下,手术修复成功.
- 这两位患者的术后过程没有发生任何事件.
结论:
- 建议紧急手术修复穿孔RV的LV伪假动脉瘤.
- 在患者病情恶化或出现严重并发症之前,及时干预至关重要.
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