Suetsugu T, Miyahara K, Amitani S, Sohara H, Tachibana H, Nakamura K
Division of Cardiology, Shinkyo Hospital, Kagoshima.
Intern Med. 2000 May;39(5):389-93. doi: 10.2169/internalmedicine.39.389.
We treated a case of ventricular septal perforation (VSP) who survived for 14 years after myocardial infarction. Nine years after the onset of myocardial infarction, an apparent cardiac murmur was discovered by chance, and following further examination, the patient was diagnosed as having VSP. The patient is still in the NYHA functional class I, and requiring no surgical treatment. In general, the prognosis of myocardial infarction complicated with VSP is so poor that there have only been 14 reported cases of long survival without surgical treatment. Among these patients, only 2 survived for more than 10 years. The present case is extremely rare, and evidently is the longest living survivor with this condition yet reported.
我们治疗了一例室间隔穿孔（VSP）患者，该患者在心肌梗死后存活了14年。心肌梗死发病9年后，偶然发现明显的心杂音，进一步检查后，患者被诊断为室间隔穿孔。该患者目前仍处于纽约心脏协会（NYHA）心功能I级，无需手术治疗。一般来说，心肌梗死合并室间隔穿孔的预后很差，仅有14例未经手术治疗而长期存活的报道。在这些患者中，只有2例存活超过10年。本病例极为罕见，显然是迄今为止报道的患有这种疾病存活时间最长的患者。
