Krishnan Unni, McCann Gerry P, Hickey Mark, Schmitt Matthias
Department of Cardiovascular Sciences, Clinical Sciences Wing, Glenfield Hospital, University Hospitals of Leicester NHS Trust, Groby Road, Leicester LE39QP, UK.
Heart Vessels. 2008 Nov;23(6):430-2. doi: 10.1007/s00380-008-1063-8. Epub 2008 Nov 27.
Ventricular free wall rupture is a catastrophic complication of acute myocardial infarction accounting for a significant proportion of in-patient deaths. Various imaging modalities including two-dimensional and contrast echocardiography have been applied for the early diagnosis of free wall rupture. Cardiac magnetic resonance imaging has recently gained favor as a tool providing accurate diagnosis and visualization of the site of rupture to enable planned surgery. We present a case of subacute free wall rupture where contrast enhanced myocardial resonance imaging helped to delineate the location and extent of the myocardial tear, thereby prompting appropriate surgical intervention.
心室游离壁破裂是急性心肌梗死的一种灾难性并发症，在住院死亡中占相当大的比例。包括二维和对比超声心动图在内的各种成像方式已被用于游离壁破裂的早期诊断。心脏磁共振成像最近作为一种能够提供准确诊断并可视化破裂部位以利于进行计划性手术的工具而受到青睐。我们报告一例亚急性游离壁破裂病例，其中对比增强心肌磁共振成像有助于描绘心肌撕裂的位置和范围，从而促使采取适当的手术干预措施。
