REVERSIBLE CARDIAC DYSFUNCTION (HIBERNATION) FROM ISCHEMIA DUE TO COMPRESSION OF THE CORONARY-ARTERIES BY A PSEUDOANEURYSM

被引：25

作者：

BAKER, WB

KLEIN, MS

REARDON, MJ

VERANI, MS

ZOGHBI, WA

机构：

[1] METHODIST HOSP, CARDIOL SECT,ECHOCARDIOG LAB,6535 FANNIN,MS F-905, HOUSTON, TX 77030 USA

[2] BAYLOR COLL MED, DEPT MED, CARDIOL SECT, HOUSTON, TX 77030 USA

来源：

NEW ENGLAND JOURNAL OF MEDICINE | 1991年 / 325卷 / 26期

关键词：

D O I：

10.1056/NEJM199112263252606

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

THE term “hibernating myocardium” was coined by Rahimtoola1 to describe persistent cardiac dysfunction due to chronic ischemia that is at least partially reversible if the severity of ischemia is reduced. Myocardial hibernation has most often been reported in patients with severe atherosclerotic coronary artery disease who are undergoing revascularization procedures. We describe a case of myocardial hibernation due to pulsatile compression of the coronary arteries by a ventricular pseudoaneurysm complicating mitral-valve replacement. After the pseudoaneurysm was repaired, ventricular function gradually returned to normal. Case Report A 67-year-old woman was admitted to our hospital for evaluation of a four-month history of. © 1991, Massachusetts Medical Society. All rights reserved.

引用

页码：1858 / 1861

页数：4

共 32 条

[1] EVIDENCE OF IMPAIRED MYOCARDIAL PERFUSION AND ABNORMAL LEFT-VENTRICULAR FUNCTION DURING EXERCISE IN PATIENTS WITH ISOLATED SYSTOLIC NARROWING OF THE LEFT ANTERIOR DESCENDING CORONARY-ARTERY [J].