Journals / Türk Kardiyoloji Derneği Arşivi / 2006 / Cilt: 34 - Sayı: 3

Miyokard infarktüsünden üç yıl sonra saptanan dev sol ventrikül psödoanevrizması

Giant left ventricular pseudoaneurysm detected three years after myocardial infarction

Pages
177–179
Publication Date
2022-11-05
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The patient whose general condition improved through intensive medical treatment was discharged with medications for heart failure and coronary artery disease on the 15th postoperative day.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:A 70-year-old male patient presented with symptoms of heart failure three years after having myocardial infarction.
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Key Findings & Data:Transthoracic echocardiography revealed severely compromised left ventricular systolic function (ejection fraction 20%) and a large left ventricular pseudoaneurysm.
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Conclusion & Impact:The patient whose general condition improved through intensive medical treatment was discharged with medications for heart failure and coronary artery disease on the 15th postoperative day.
🔬Design:Modeling & Simulation
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

A 70-year-old male patient presented with symptoms of heart failure three years after having myocardial infarction. Transthoracic echocardiography revealed severely compromised left ventricular systolic function (ejection fraction 20%) and a large left ventricular pseudoaneurysm. The diagnosis was confirmed by computed tomography. The size of the pseudoaneurysm sac was 11x9 cm. At surgery, the pseudoaneurysmal sac was resected and a defect of 3.5x4 cm was detected in the anterolateral wall of the left ventricle. The defect was repaired by the remodeling ventriculoplasty method of Dor. The patient whose general condition improved through intensive medical treatment was discharged with medications for heart failure and coronary artery disease on the 15th postoperative day.

Özet

Üç yıl önce geçirilmiş miyokard infarktüsü öyküsü olan 70 yaşında erkek hasta kalp yetersizliği semptomları nedeniyle kliniğimize başvurdu. Transtorasik ekokardiyografide ciddi sol ventrikül disfonksiyonu (ejeksiyon fraksiyonu %20) ve büyük bir sol ventrikül psödoanevrizması saptandı. Tanı bilgisayarlı tomografiyle doğrulandı. Psödoanevrizma kesesinin boyutu 11x9 cm olarak ölçüldü. Psödoanevrizma kesesi cerrahi olarak çıkarıldı ve sol ventrikülün anterolateral duvarında 3.5x4 cm ölçülerinde açıklık saptandı. Bu defekt Dor ventriküloplasti yöntemiyle tamir edildi. Genel durumu yoğun tıbbi tedaviyle düzelen hasta, ameliyattan 15 gün sonra, kalp yetersizliği ve koroner arter hastalığına yönelik tedavi verilerek taburcu edildi.

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Cite This Article

GÖK, H., SOYLU, A., KAYRTAK, M., NARİN, C. (2022). Miyokard infarktüsünden üç yıl sonra saptanan dev sol ventrikül psödoanevrizması. Türk Kardiyoloji Derneği Arşivi, Cilt: 34 - Sayı: 3, 177–179. https://ajindex.com/articles/633691

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