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  

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

作　　者：赵勇杰 马宪鲁 杨彬[3] 张培喜[2] ZHAO Yongjie;MA Xianlu;YANG Bin;ZHANG Peixi(School of Clinical Medicine,Jining Medical University,Jining,Shandong,272013,China;Department of Cardiovascular Surgery;Department of Vascular Surgery,Jining NO.1 People's Hospital)

机构地区：[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

出　　处：《临床心血管病杂志》2024年第11期943-946,共4页Journal of Clinical Cardiology

基　　金：山东省中医药科技发展计划(No:2019-0749)。

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。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 hos-pital.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.

关 键 词：冠心病 室壁瘤 二尖瓣关闭不全 手术治疗 

分 类 号：R654.2[医药卫生—外科学]