Kaulfersch C, Daehnert I, Schuler G, Thiele H
Department of Internal Medicine and Cardiology, University of Leipzig, Heart Center, Leipzig, Germany.
Minerva Cardioangiol. 2007 Oct;55(5):693-701.
Postinfarction ventricular septal defect (VSD) is a rare but fatal complication after myocardial infarction. Surgery for postinfarction VSD is considered the gold standard. However, it is associated with high morbidity and mortality, patient discomfort, need of cardiopulmonary bypass, sternotomy, and skin scarring. As a consequence, less invasive interventional techniques have been developed for postinfarction VSD closure. The current review focuses on patient selection, techniques, results, potential complications and outcome of percutaneous postinfarction closure.
心肌梗死后室间隔缺损(VSD)是心肌梗死后一种罕见但致命的并发症。心肌梗死后VSD的手术治疗被认为是金标准。然而,它与高发病率和死亡率、患者不适、需要体外循环、胸骨切开术和皮肤瘢痕形成相关。因此,已经开发出侵入性较小的介入技术用于心肌梗死后VSD的封堵。本综述重点关注经皮心肌梗死后封堵的患者选择、技术、结果、潜在并发症及预后。