International Journal of Clinical Research
International Journal of Clinical Research. 2024; 8: (12) ; 10.12208/j.ijcr.20240500 .
总浏览量: 49
1 北京大学深圳医院心血管外科 广东深圳
2 深圳大学医学院 广东深圳
*通讯作者： 韩振,单位： 北京大学深圳医院心血管外科 广东深圳 深圳大学医学院 广东深圳；
先天性左心室憩室（CLVD）是一种罕见的心脏结构性疾病，主要发生在心尖区。由于其发病率有限，目前尚无足够的临床证据支持其病理生理学或制定标准治疗方案。本文回顾性地描述了一名患有巨大CLVD的男性患者，其憩室大小约为57 × 36mm。因此，我们选择了一种综合治疗方法：在胸骨劈开后，心脏直视下放入闭合器。术后半年随访时，患者的恢复情况令人满意。总之，综合手术是一种可行的治疗方法，扩大了同类患者的治疗选择范围。在处理这些错综复杂的临床情况时，采用多学科和个性化的方法至关重要。
The congenital left ventricular diverticulum（CLVD）is a rare structural disease of heart what mainly affects the apical region. Because of its limited incidence, there is insufficient clinical evidence to support its pathophysiology or the creation of standard treatment regimens. This article retrospectively describes a male patient with a giant CLVD with a diverticulum measuring approximately 57 × 36 mm. Consequently, a combined treatment approach was selected: the closure was inserted under direct vision following sternum splitting. At the postoperative follow-up, the patient exhibited a satisfactory recovery. In conclusion, the hybrid procedure is a viable treatment option that broadens the available treatments for patients of same kind. It is crucial to adopt a multidisciplinary and personalised approach in managing these intricate clinical situations.
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