劇症型心筋炎発症後18年で心尖部領域に形成された左室瘤の1例

The Apical Left Ventricle Aneurysm, Eighteen Years After the Fulminant Myocarditis：Report of a Case

はじめに　劇症型心筋炎後の心室瘤は，まれではあるが留意しなければならない合併症の一つである．われわれは心筋炎加療後，18年の経過で心室瘤を形成した症例に対し，手術加療を行い良好な結果を得たので報告する．

Ventricular aneurysm after myocarditis is a rare complication. It has been reported that scarred areas of the myocardium may become aneurysm. Here, we report a case of apical left ventricle aneurysm at 18 years after the fulminant myocarditis. The patient is a 36-year-old female with a history of fulminant myocarditis at the age of 18. Eighteen years after the onset of the disease, she was referred to our hospital because of an apex ventricular aneurysm. Her computed tomography scan showed an apex ventricular aneurysm sized 45×40 mm with a wall width of 1.8 mm. We performed resection of ventricular aneurysm and reconstruction using Linear technique. The postoperative course was uneventful and discharged on the 17th post operative day.