在皮肤透光冠状动脉血管整形术后,巨大的左心室伪动脉瘤
Xiejing Long1, Haiyan Zhang1, Caili Li1
1Department of Ultrasound, Zhuhai People's Hospital, Zhuhai, Guangdong, China.
JACC. Case reports
|February 19, 2026
概括
左心室伪动脉瘤 (LVPA) 是皮肤透光冠状动脉血管形成术后的一种罕见并发症. 保守的管理可以成功,强调及时诊断以改善患者的治疗结果.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 医疗成像医学成像
背景情况:
- 左心室伪动脉瘤 (LVPA) 是一种罕见的,危及生命的并发症.
- 它通常是心肌梗塞,手术,创伤或感染的次要原因.
研究的目的:
- 报告皮肤透光冠状动脉血管塑造术后出现巨型LVPA的病例.
- 讨论LVPA的管理选择和诊断方式.
主要方法:
- 一个80岁的老妇人的病例报告呈现出缺血性胸痛.
- 诊断证实 transthoracic心声扫描显示一个巨大的LVPA.
- 管理涉及基于患者偏好的保守治疗.
主要成果:
- 患者已出院,在药物治疗上保持稳定.
- 胸外回声心脏成像对于诊断和监测至关重要.
结论:
- 及时诊断LVPA对于改善患者预后至关重要.
- LVPA 是通过皮肤进行透光冠状动脉血管形成术后的一种严重并发症.
- 心声谱有助于诊断,治疗启动和监测.
相关概念视频
Aneurysm I: Introduction
476
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...
476
Aneurysm III: Interprofessional Care
338
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
338


