Abel R M, Buckley M J, Friedlich A L, Austen W G
Ann Thorac Surg. 1976 Feb;21(2):175-9. doi: 10.1016/s0003-4975(10)64287-7.
A 50-year-old man sustained free rupture of the left ventricle four weeks following a massive anterior myocardial infarction. The rupture occurred at the junction between a bulging left ventricular aneurysm that was not yet fibrotic and normal myocardium without evidence of fresh myocardial infarction. Accurate preoperative diagnosis aided by echocardiography and right heart catheterization made possible a planned surgical approach. Postoperative support with intraaortic balloon pumping appeared to be beneficial in maintaining statisfactory cardiac function until an adequate stroke volume could be reestablished, presumably by an increase in left ventricular volume.
一名50岁男性在大面积前壁心肌梗死后四周发生左心室游离壁破裂。破裂发生在尚未纤维化的膨出左心室室壁瘤与无新鲜心肌梗死证据的正常心肌交界处。超声心动图和右心导管检查辅助下的准确术前诊断使得计划性手术入路成为可能。主动脉内球囊反搏的术后支持似乎有助于维持满意的心功能，直到可能通过左心室容积增加重建足够的每搏输出量。
