WordNet

toward or on the left; also used figuratively; "he looked right and left"; "the political party has moved left"
a turn toward the side of the body that is on the north when the person is facing east; "take a left at the corner"
the hand that is on the left side of the body; "jab with your left" (同)left_hand
those who support varying degrees of social or political or economic change designed to promote the public welfare (同)left wing
location near or direction toward the left side; i.e. the side to the north when a person or object faces east; "she stood on the left"
intended for the left hand; "I rarely lose a left-hand glove" (同)left-hand
being or located on or directed toward the side of the body to the west when facing north; "my left hand"; "left center field"; "the left bank of a river is bank on your left side when you are facing downstream"
of or belonging to the political or intellectual left
of or relating to a ventricle (of the heart or brain)
a cardiovascular disease characterized by a saclike widening of an artery resulting from weakening of the artery wall (同)aneurism

PrepTutorEJDIC

leaveの過去・過去分詞
《名詞の前にのみ用いて》『左の』,左方の / 《しばしばl-》(政治上の)左翼の,左派の,革新派の / 左に,左方に / 《通例 the ~》『左』,左方,左側 / 《しばしばthe L-》左翼の政党(団体),左派 / 〈U〉(野球で)左翼,レフト(left field);〈C〉左翼手(left fielder) / 〈C〉(ボクシングで)左手打ち
動脈瘤(りゅう)

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2017/08/05 01:24:44」(JST)

wiki en

Ventricular aneurysms are one of the many complications that may occur after a heart attack. The word aneurysm refers to a bulge or ‘pocketing’ of the wall or lining of a vessel commonly occurring in the blood vessels at the base of the septum, or within the aorta. In the heart, they usually arise from a patch of weakened tissue in a ventricular wall, which swells into a bubble filled with blood.^[1] This, in turn, may block the passageways leading out of the heart, leading to severely constricted blood flow to the body. Ventricular aneurysms can be fatal. They are usually non-rupturing because they are lined by scar tissue.

Left ventricular aneurysm can be associated with ST elevation.^[2]

Signs and symptoms

Ventricular aneurysms usually grow at a very slow pace, but can still pose problems. Usually this type of aneurysm grows in the left ventricle. This bubble has the potential to block blood flow to the body, and thus limit the patient's stamina. In other cases, a similarly developed pseudoaneurysm "false aneurysm" may burst, sometimes resulting in death of the patient. Also, blood clots may form on the inside of ventricular aneurysms, and form embolisms. If these blood clots escape from the aneurysm, they will be moved in the circulation throughout the body. If these blood clots get stuck inside a blood vessel, they may cause ischemia in a limb, a painful condition that can lead to reduced movement and tissue death in the limb.^[3] Alternatively, if they block a vessel going to the brain, they can cause a stroke. In certain cases, ventricular aneurysm may cause ventricular failure or arrythmia. At this stage, treatment is necessary.

Causes

Ventricular aneurysms are usually complications resulting from a heart attack. When the heart muscle (cardiac muscle) partially dies during a heart attack, a layer of muscle may survive, and being severely weakened, start to become an aneurysm. The blood may flow into the surrounding dead muscle and inflate the weakened flap of muscle into a bubble. It may also be congenital.

Diagnosis

Left ventricular aneurysm

An ECG of a person with a left ventricular aneurysm. Note the ST elevation in the anterior leads.

When a person visits the hospital or doctor with other symptoms, especially with a history of heart problems, they will normally be required to undergo an electrocardiogram, which monitors electrical activity within the heart and shows abnormalities when a cardiac aneurysm is present. It can also appear as a bulge on a chest x-ray, and a more accurate diagnosis will then be made using an echocardiogram, which uses ultrasound to ‘photograph’ the heart and how it functions while it beats.

Play media

Left ventricular aneurysm as seen on ultrasound^[4]
Play media

Left ventricular aneurysm as seen on ultrasound^[4]

Differential diagnosis

It should also not be confused with a pseudoaneurysm,^[5]^[6] coronary artery aneurysm or a myocardial rupture (which involves a hole in the wall, not just a bulge.)

Treatment

Some people live with this type of aneurysm for many years without any specific treatment. Treatment is limited to surgery (ventricular reduction) for this defect of the heart. However, surgery is not required in most cases but, limiting the patient's physical activity levels to lower the risk of making the aneurysm bigger is advised. Also ACE Inhibitors seem to prevent Left Ventricular remodeling and aneurysm formation.

Blood thinning agents may be given to help reduce the likelihood of blood thickening and clots forming, along with the use of drugs to correct the irregular rhythm of the heart (seen on the electrocardiogram)

References

^ "What is an Aneurysm?". www.heart.org. Retrieved 2017-03-14.
^ Victor F. Froelicher; Jonathan Myers (2006). Exercise and the heart. Elsevier Health Sciences. pp. 138–. ISBN 978-1-4160-0311-3. Retrieved 10 October 2010.
^ "What is an Aneurysm?". www.heart.org. Retrieved 2017-03-14.
^ ^a ^b "UOTW #57 - Ultrasound of the Week". Ultrasound of the Week. 29 August 2015. Retrieved 27 May 2017.
^ Zoffoli G, Mangino D, Venturini A, et al. (February 2009). "Diagnosing left ventricular aneurysm from pseudo-aneurysm: a case report and a review in literature". J Cardiothorac Surg. 4 (1): 11. PMC 2654444 . PMID 19239694. doi:10.1186/1749-8090-4-11.
^ Brown SL, Gropler RJ, Harris KM (May 1997). "Distinguishing left ventricular aneurysm from pseudoaneurysm. A review of the literature". Chest. 111 (5): 1403–9. PMID 9149600. doi:10.1378/chest.111.5.1403.

UpToDate Contents

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1. 急性心筋梗塞後の左室瘤および仮性左室瘤 left ventricular aneurysm and pseudoaneurysm following acute myocardial infarction
2. 肥大型心筋症：左心室流出路閉塞の形態変異と病態生理 hypertrophic cardiomyopathy morphologic variants and the pathophysiology of left ventricular outflow tract obstruction
3. 急性心筋梗塞後の左室内血栓 left ventricular thrombus after acute myocardial infarction
4. シャーガス心臓病：臨床症状および診断 chagas heart disease clinical manifestations and diagnosis
5. 急性冠症候群後の慢性期抗凝固療法 chronic anticoagulation after acute coronary syndromes

English Journal

Improved Wall Motion of Late Gadolinium-Enhanced Myocardium After Complete Surgical Revascularization.

Oh SJ1, Park EA2, Lee W2, Hwang HY3, Kim KB4.
The Annals of thoracic surgery.Ann Thorac Surg.2015 Mar 7. pii: S0003-4975(15)00060-0. doi: 10.1016/j.athoracsur.2014.12.065. [Epub ahead of print]
BACKGROUND: Gadolinium-enhanced cardiac magnetic resonance (CMR) imaging suggests a low possibility of myocardial function improvement after revascularization if the transmural extent of late gadolinium enhancement (LGE) was over 50%. We evaluated myocardial wall motion in patients who underwent com
PMID 25757761

Anticoagulation in Ischemic Left Ventricular Aneurysm.

Lee GY1, Song YB1, Hahn JY1, Choi SH1, Choi JH1, Jeon ES1, Park SJ1, Lee SC1, Park SW1, Gwon HC2.
Mayo Clinic proceedings.Mayo Clin Proc.2015 Mar 6. pii: S0025-6196(15)00072-5. doi: 10.1016/j.mayocp.2014.12.025. [Epub ahead of print]
OBJECTIVE: To evaluate the role of systemic anticoagulation using warfarin in patients with post-myocardial infarction left ventricular (LV) aneurysm formation with or without definite LV thrombus formation.PATIENTS AND METHODS: This study included 648 patients with post-myocardial infarction LV ane
PMID 25752723

Japanese Journal

症例拡張型心筋症,左心室瘤を起源とする難治性心室頻拍に対して瘤切除とcryoablationを施行した1例

胸部外科 = The Japanese journal of thoracic surgery 68(13), 1089-1092, 2015-12
NAID 40020660147

Improvement of Severe Heart Failure after Endovascular Stent Grafting for Thoracic Aortic Aneurysm

International Heart Journal 56(6), 682-685, 2015
NAID 130005113054

Related Pictures

★リンクテーブル★

リンク元	「左室瘤」
関連記事	「ventricular」「left」「left ventricular」

「左室瘤」

Aneurysm of heart
	Heart left ventricular aneurysm short axis view
Classification and external resources
ICD-10	I25.3
ICD-9-CM	414.1
MeSH	D006322
	[edit on Wikidata]

　　[★]

英: left ventricular aneurysm
関: 心室瘤

[show details]

左心室瘤 : 約 12,600 件
左室瘤 : 約 17,000 件

概念

心筋梗塞の合併症の1つで、梗塞部心筋が菲薄化し線維組織に置き変わったもの。

「ventricular」

　　[★]

adj.

室の、心室の、脳室の、心室性の

関: cardiac ventricle、cerebral ventricle、cerebroventricle、cerebroventricular、heart ventricle、ventricle、ventriculi、ventriculus

「left」

　　[★]

adj.

左の、左方の

n.

左、

v.

(leaveの過去-過去分詞として)去る

関: leave

「left ventricular」

　　[★]

左心室の、左室の

関: left ventricle、LV

[1] "What is an Aneurysm?". www.heart.org. Retrieved 2017-03-14.

[FroelicherMyers2006-2] Victor F. Froelicher; Jonathan Myers (2006). Exercise and the heart. Elsevier Health Sciences. pp. 138–. ISBN 978-1-4160-0311-3. Retrieved 10 October 2010.

[3] "What is an Aneurysm?". www.heart.org. Retrieved 2017-03-14.

[UOTW57-4] "UOTW #57 - Ultrasound of the Week". Ultrasound of the Week. 29 August 2015. Retrieved 27 May 2017.

[pmid19239694-5] Zoffoli G, Mangino D, Venturini A, et al. (February 2009). "Diagnosing left ventricular aneurysm from pseudo-aneurysm: a case report and a review in literature". J Cardiothorac Surg. 4 (1): 11. PMC 2654444 . PMID 19239694. doi:10.1186/1749-8090-4-11.

[pmid9149600-6] Brown SL, Gropler RJ, Harris KM (May 1997). "Distinguishing left ventricular aneurysm from pseudoaneurysm. A review of the literature". Chest. 111 (5): 1403–9. PMID 9149600. doi:10.1378/chest.111.5.1403.

匿名

検索

案内

案内

left ventricular aneurysm