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首页> 外文期刊>Circulation journal >Subepicardial aneurysm associated with ventricular septal perforation showing a normal coronary angiogram.
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Subepicardial aneurysm associated with ventricular septal perforation showing a normal coronary angiogram.

机译：与室间隔穿孔有关的心外膜下动脉瘤显示正常的冠状动脉造影。

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摘要

Subepicardial aneurysm is a rare complication of acute myocardial infarction and the present case was associated with ventricular septal perforation. Echocardiography showed the subepicardial aneurysm adjoining the true apico-anteroseptal aneurysm, with the former being discontinuous with the myocardium at its neck, which was narrower than the diameter of the aneurysm. In addition, color Doppler imaging showed shunt flow from the aneurysm to the right ventricle. Coronary angiography revealed extension only of the anterior descending artery without any discernible stenosis. The apical aneurysm was excised and the defect closed with an epicardial patch. The myocardial infarction was probably caused by coronary spasm. Echocardiography was useful for diagnosing the anatomy and hemodynamic condition of the subepicardial aneurysm.
机译：心外膜下动脉瘤是急性心肌梗死的罕见并发症，本病例与室间隔穿孔有关。超声心动图显示，真正的apico-前房间隔动脉瘤毗邻于心外膜下动脉瘤，前者在其颈部的心肌不连续，其直径小于动脉瘤的直径。此外，彩色多普勒成像显示从动脉瘤到右心室的分流。冠状动脉造影显示仅延伸前降支，无明显狭窄。切除根尖动脉瘤，并用心外膜片封闭缺损。心肌梗塞可能是由冠状痉挛引起的。超声心动图可用于诊断心外膜下动脉瘤的解剖结构和血流动力学状况。

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