一名八旬老人在心肌梗死导致左心室游离壁破裂后存活。
Survival of an octogenarian after rupture of the left ventricular free wall caused by myocardial infarction.
作者信息
Daya Samantapudi K, Tan Desmond, Tolerico Paul H, Gowda Ramesh M, Khan Ijaz A
机构信息
Department of Medicine, York Hospital, York, Pennsylvania, USA.
出版信息
Tex Heart Inst J. 2004;31(2):178-80.
Left ventricular free wall rupture is an uncommon complication after a myocardial infarction that is associated with a high mortality rate from pericardial tamponade, especially in the elderly. Early recognition and management of this clinical entity affects the outcome; therefore, a high index of suspicion is imperative. We present a case of an 80-year-old man admitted with myocardial infarction, who had subsequent findings of left ventricular free wall rupture complicated by pericardial tamponade. Emergent surgical repair led to successful recovery. A brief overview of the clinical presentation, diagnosis, and management of this challenging and potentially fatal complication is presented.
左心室游离壁破裂是心肌梗死后一种罕见的并发症，与心包填塞导致的高死亡率相关，尤其是在老年人中。对这一临床病症的早期识别和处理会影响预后；因此，必须保持高度的怀疑指数。我们报告一例80岁男性因心肌梗死入院，随后发现并发心包填塞的左心室游离壁破裂。紧急手术修复使患者成功康复。本文简要概述了这种具有挑战性且可能致命的并发症的临床表现、诊断和处理。
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