冠心病合并左心室后壁室壁瘤及二尖瓣关闭不全手术治疗1例

赵勇杰; 马宪鲁; 杨彬; 张培喜

doi:10.13201/j.issn.1001-1439.2024.11.016

冠心病合并左心室后壁室壁瘤及二尖瓣关闭不全手术治疗1例

- 1.
  济宁医学院临床医学院(山东济宁，272013)
- 2.
  济宁市第一人民医院心脏大血管外科
- 3.
  济宁市第一人民医院血管外科
基金项目:
山东省中医药科技发展计划(No：2019-0749)

详细信息

通讯作者: 张培喜，E-mail：zhangpeixi@163.com

中图分类号: R654.2

收稿日期: 2023-10-31

刊出日期: 2024-11-13

Surgical treatment of coronary heart disease complicated with left ventricular posterior wall aneurysm and mitral regurgitation: a case report

- 1.
  School of Clinical Medicine, Jining Medical University, Jining, Shandong, 272013, China
- 2.
  Department of Cardiovascular Surgery
- 3.
  Department of Vascular Surgery, Jining NO.1 People's Hospital

More Information

Corresponding author: ZHANG Peixi, E-mail: zhangpeixi@163.com

Received Date: 31 October 2023

Publish Date: 13 November 2024

摘要

摘要: 本文报道1例老年冠心病合并左心室后壁室壁瘤及二尖瓣关闭不全患者的外科治疗过程。患者女，66岁，因憋喘2周收入我院。外院行冠状动脉造影检查示：3支血管病变，建议上级医院行手术治疗。入我院后行心脏彩色超声检查示：节段性室壁运动异常，左心室后壁局部瘤样膨出，考虑室壁瘤形成；二尖瓣反流(大量)，建议手术治疗。综合评估后行左心室后壁室壁瘤切除术+体外循环下冠状动脉旁路移植术+二尖瓣成形术。患者手术顺利，病愈出院，术后随访至今，无身体不适。
- 冠心病 /
- 室壁瘤 /
- 二尖瓣关闭不全 /
- 手术治疗
Abstract: This article reported the clinical data of a surgical treatment performed on an elderly patient with coronary heart disease complicated with left ventricular posterior wall aneurysm and mitral regurgitation. A 66-year-old female was admitted to our hospital because of wheezing for 2 weeks. Coronary angiography outside the hospital showed that there were three vessel lesions, and surgical treatment was recommended in the superior hospital. After admission to our hospital, cardiac color Doppler ultrasound showed that segmental ventricular wall motion abnormality, local tumor-like bulge of the posterior wall of the left ventricle, considering the formation of ventricular aneurysm, mitral regurgitation (mass), surgical treatment was recommended. After a comprehensive evaluation, resection of the left ventricular posterior wall aneurysm, coronary artery bypass grafting and mitral valvuloplasty were performed. The operation was successful, and the patient recovered and was discharged from the hospital. As of now, the patient has not experienced any physical discomfort during the follow-up.
- coronary heart disease /
- ventricular aneurysm /
- mitral regurgitation /
- surgical treatment

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图 1 患者住院期间心脏彩色超声检查结果

Figure 1. Results of color ultrasound examination during hospitalization

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图 2 患者胸部CT结果

Figure 2. The chest CT result

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图 3 患者术中探查结果

Figure 3. Results of intraoperative exploration

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图 4 患者术后病理结果和术后1周心脏彩色超声结果

Figure 4. Postoperative pathological results and cardiac color Doppler ultrasound results one week after operation

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