心肌梗死后室间隔缺损合并主动脉瓣狭窄的外科治疗。

Surgical treatment of postinfarction ventricular septal defect with aortic stenosis.

作者信息

Boglioli L R, Traill T A, Casale A S, Reitz B A, Cameron D E

机构信息

Division of Cardiac Surgery, Johns Hopkins Hospital, Baltimore, Maryland 21205.

出版信息

Ann Thorac Surg. 1992 Dec;54(6):1209-11. doi: 10.1016/0003-4975(92)90101-9.

DOI:10.1016/0003-4975(92)90101-9

PMID:1449313

Abstract

A 69-year-old man with an acute postinfarction ventricular septal defect was also found to have aortic stenosis. Successful management required closure of the postinfarction ventricular septal defect and replacement of the stenotic aortic valve. The contribution of aortic stenosis to the cause of the infarction and the postinfarction ventricular septal defect, as well as the implications for surgical management, are discussed.

摘要

一名69岁的男性，在急性心肌梗死后出现室间隔缺损，同时还被发现患有主动脉瓣狭窄。成功的治疗需要闭合心肌梗死后的室间隔缺损并置换狭窄的主动脉瓣。本文讨论了主动脉瓣狭窄对心肌梗死及心肌梗死后室间隔缺损病因的影响，以及对手术治疗的意义。