Dittrich J, Gärtner U, Mösseler U, Spaan G
Fortschr Med. 1977 Oct 13;95(38):2273-80.
Among the acquired defects of ventricular septum the rupture of the septum are known to occur as a rare complication following penetrating and non-penetrating injuries of the chest and more common as sequel of myocardial infarction. A left to right shunt usually follows the acute rupture of the interventricular septum, and is usually lethal. Only a few patients survive for several months under conventional therapy. Early diagnostic procedures using heart catheterization are crucial to determine whether surgical maneuvers are necessary. We present patients who experienced acute rupture of the ventricular septum. We discuss their pathological and clinical findings as well as the problems related to prognosis and therapy.
在后天性室间隔缺损中，室间隔破裂已知是胸部穿透伤和非穿透伤后罕见的并发症，而作为心肌梗死的后遗症则更为常见。室间隔急性破裂后通常会出现左向右分流，而且通常是致命的。在传统治疗下，只有少数患者能存活数月。使用心导管插入术的早期诊断程序对于确定是否需要手术操作至关重要。我们展示了经历室间隔急性破裂的患者。我们讨论了他们的病理和临床发现以及与预后和治疗相关的问题。
