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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Cardiac Pseudoaneurysm- A Death Defying Entity
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Cardiac Pseudoaneurysm- A Death Defying Entity

机译：心脏假性动脉瘤-死亡抗辩实体

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A pseudoaneurysm refers to a contained rupture of the myocardium with a tenuous pericardium walling off the leak. It needs to be differentiated from a true aneurysm by the fact that there is lack of myocardial tissue in the wall of a pseudoaneurysm. The differentiation between the two is pertinent as true aneurysms can be treated medically while pseudoaneurysms require urgent surgical treatment. Untreated pseudoaneurysms carry a high risk of rupture and mortality. We report a case of cardiac pseudoaneurysm developing in a 46-year-old male who had suffered myocardial infarction four months back. The patient now presented with chest pain and dyspnoea. CECT chest revealed a partially thrombosed large pseudoaneurysm arising from the posterior wall of left ventricle. While the clinical diagnosis of this entity is difficult, CECT plays a pivotal role in the non-invasive detection of pseudoaneurysms.
机译：假性动脉瘤指的是心肌的封闭性破裂，心包壁薄薄地覆盖在渗漏处。需要通过假性动脉瘤壁中缺少心肌组织来将其与真正的动脉瘤区分开。两者之间的区别是相关的，因为真正的动脉瘤可以通过药物治疗，而假性动脉瘤需要紧急手术治疗。未经治疗的假性动脉瘤具有很高的破裂和死亡风险。我们报告了一名46岁男性在四个月前遭受心肌梗塞时出现心脏假性动脉瘤的情况。该患者现在出现胸痛和呼吸困难。 CECT胸部显示左心室后壁引起部分血栓形成的假性大动脉瘤。尽管该实体的临床诊断很困难，但CECT在假性动脉瘤的非侵入性检测中起着关键作用。

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