Sutureless法による左室破裂修復後亜急性期に発生した仮性瘤の1例

Subacute Pseudoaneurysm Formation after Sutureless Repair for Postinfarction Left Ventricular Rupture：Report of a Case

はじめに　左室自由壁破裂は急性心筋梗塞（AMI）に合併するきわめて重篤な病態である1）．われわれはAMI後の左室自由壁破裂に対してsutureless法で救命した後，亜急性期に左室仮性瘤が拡大した症例に対し，パッチ閉鎖術を行ったので報告する．

A 71-year-old woman was admitted for cardiac tamponade due to left ventricular free wall rupture after acute myocardial infarction. Sutureless repair was performed for bleeding from the inferior wall. Fifteen days later, computed tomography demonstrated enlargement of a left ventricular pseudoaneurysm. Patch closure using a vascular prosthesis was performed through left thoracotomy. No recurrence of the left ventricular aneurysm has been observed since.