Rachko M, Safi A M, Chadow H L, Lyon A F, Gunsburg D, Rafii S E
Division of Cardiology, the Brooklyn Hospital Center, New York, USA.
Jpn Heart J. 2000 Nov;41(6):773-9. doi: 10.1536/jhj.41.773.
Mechanical complications of acute myocardial infarction (AMI) such as a ventricular septal defect (VSD) usually occur within the first week. In the thrombolytic era, the incidence of a VSD has not increased, but has been reported to occur earlier than previously described. We report an unusual case of an elderly Caucasian female with an acute anterior wall myocardial infarction treated with thrombolytic therapy. Her AMI was complicated by pulmonary edema secondary to a VSD and a left ventricular aneurysm five weeks later. Prompt diagnosis, immediate surgical closure of the VSD, and aneurysmectomy resulted in her complete recovery.
急性心肌梗死（AMI）的机械并发症，如室间隔缺损（VSD），通常发生在第一周内。在溶栓时代，VSD的发生率并未增加，但有报道称其发生时间比之前描述的更早。我们报告了一例不寻常的病例，一名老年白人女性，因急性前壁心肌梗死接受了溶栓治疗。她的AMI在五周后并发了因VSD和左心室室壁瘤导致的肺水肿。及时诊断、立即手术关闭VSD以及切除室壁瘤使她完全康复。
