在三明治补丁修复后,左心室伪动脉瘤通过右心室切除术进行右心室切除术以进行心脏病发作后的心室隔膜穿孔
Satoru Tomita1, Naonori Kawamoto1, Satoshi Kainuma1
1Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Osaka, Japan.
Annals of thoracic surgery short reports
|October 30, 2025
概括
两例罕见的左心室伪动脉瘤 (LVPA) 发生在对心脏病发作后心室隔膜穿孔的补丁修复后. 线上的撕裂表明不完全排除了心脏病发作,但这两名患者都通过重复补丁修复成功治疗.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 医学案例报告 病例报告
背景情况:
- 心脏病发作后心室隔膜穿孔是一种严重的并发症.
- 手术修复,通常是用补丁技术,是必要的,但带有风险.
- 左心室伪动脉瘤 (LVPA) 是这种修复后的罕见但显著的并发症.
研究的目的:
- 报告两例罕见的左心室伪动脉瘤 (LVPA) 病例.
- 为了突出 LVPA 在三明治贴片修复后对于心脏病发作后心室隔膜穿孔的潜力.
- 讨论这些病例的根本原因和成功管理.
主要方法:
- 对两例 LVPA 室腔隔膜穿孔后修复的患者病例的审查.
- 手术发现包括沿前左心室壁线的撕裂.
- 两位患者都成功地进行了重复贴片修复.
主要成果:
- 两名患者在心室隔膜穿孔的初始修复后几个月到几年内发展了LVPA.
- 一个常见的发现是线上的撕裂,这表明不充分排除了心脏病发作区域.
- 两名患者在随后的手术干预后完全康复.
结论:
- 左心室伪动脉瘤是一种罕见的,但在心脏病发作后心室隔膜穿孔的补丁修复后可能出现的并发症.
- 线消失,表明缺少心脏病排除是可能的原因.
- 及时诊断和手术重新干预可以带来成功的结果.
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