Martinez Matthew W, Singh Chander P, Mookadam Farouk
Division of Cardiovascular Diseases, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.
J Am Soc Echocardiogr. 2006 Nov;19(11):1401.e5-7. doi: 10.1016/j.echo.2006.06.017.
An 84-year-old woman with cardiomyopathy secondary to severe atherosclerotic coronary artery disease presented with biventricular heart failure. She was admitted to the hospital after a non-S-T elevation myocardial infarction 5 days earlier that led to progressive congestive heart failure. A transthoracic echocardiogram revealed an apical ventricular septal defect with bidirectional shunting and pulmonary hypertension. Cardiovascular operation was declined; therefore, a post-infarction ventricular septal defect occluder device was placed across the ventricular septal defect leaving only a tiny residual shunt. The patient had symptomatic improvement after the procedure and had no complications related to the procedure.
一名84岁女性，患有严重动脉粥样硬化性冠状动脉疾病继发的心肌病，出现双心室心力衰竭。5天前，她因非ST段抬高型心肌梗死入院，随后逐渐发展为充血性心力衰竭。经胸超声心动图显示心尖部室间隔缺损并双向分流及肺动脉高压。患者拒绝心血管手术；因此，在室间隔缺损处放置了一个心肌梗死后室间隔缺损封堵器，仅残留微小分流。术后患者症状改善，且无与手术相关的并发症。
