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Left Ventricular Pseudoaneurysm Following Myocardial Infarction Demonstrated by 64 Multidetector Computed Tomography

心肌梗塞後之左心室假性動脈瘤:64切電腦斷層的影像表現

摘要


我們報告一例個案是心肌梗塞後伴隨左心室假性動脈瘤。一位78歲男性表現心肌梗塞和心臟衰竭。64切電腦斷層和心臟超音波顯示心肌梗塞後導致後心壁破裂形成左心室假性動脈瘤。電腦斷層之多切面重組影像和三維立體重組影像可清楚呈現左心室假性動脈瘤之複雜結構。心臟電腦斷層檢查是一種很好用的非侵入性檢查工具來診斷心肌破裂。

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並列摘要


We describe a case of 78-year-old man who presented with myocardial infarction and heart failure with cardiomegaly. 64 multidetector computed tomography (64-MDCT) and echocardiography showed a LV pseudoaneurysm, probably due to cardiac inferolateral wall rupture. The complex anatomy of the LV pseudoaneurysm was shown in detail by 64-MDCT using multiplanar reconstruction and 3D volume rendering techniques. MDCT is a useful tool for the non-invasive diagnosis of cardiac rupture.

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