Arat Nurcan, Sökmen Yeliz, Ilkay Erdogan
Department of Cardiology, Türkiye Yüksek Ihtisas Hospital, Ankara, Turkey.
Acta Cardiol. 2007 Aug;62(4):413-6. doi: 10.2143/AC.62.4.2022287.
Right ventricular rupture is a rare complication after myocardial infarction and a few cases were reported. We present the case of a 65-year-old Caucasian man with inferior and right ventricular myocardial infarction which was complicated by right ventricular rupture following successful percutaneous revascularization. The transthoracic echocardiography revealed right ventricular free wall rupture with pericardial effusion. The patient underwent a pericardial drainage by pericardiotomy without myocardial repair because of the self-limiting pattern of the right ventricular free wall rupture. The formation of a mural thrombus at the small rupture site limited the leakage and contributed to the outstanding favourable prognosis of the patient with early revascularization even without surgical repair.
右心室破裂是心肌梗死后一种罕见的并发症，仅有少数病例报道。我们报告了一例65岁的白种男性患者，其患有下壁和右心室心肌梗死，在成功进行经皮血管重建术后并发右心室破裂。经胸超声心动图显示右心室游离壁破裂并伴有心包积液。由于右心室游离壁破裂呈自限性，该患者接受了心包切开引流术，未进行心肌修复。小破裂部位形成的壁层血栓限制了渗漏，即使没有手术修复，早期血管重建也使患者获得了显著良好的预后。
