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急性下壁心肌梗死导致室间隔破裂和右心室心肌内夹层。

Ventricular septal rupture and right ventricular intramyocardial dissection secondary to acute inferior myocardial infarction.

机构信息

Internal Medicine Division, University Hospital, University of São Paulo Medical School, Av Lineu Prestes 2565, Butantã, CEP 05508-000, São Paulo, Brazil.

出版信息

J Cardiovasc Comput Tomogr. 2010 Sep-Oct;4(5):342-4. doi: 10.1016/j.jcct.2010.05.019. Epub 2010 Jun 8.

DOI:10.1016/j.jcct.2010.05.019
PMID:20638355
Abstract

A 61-year-old female patient presented with sub acute myocardial infarction with an occluded right coronary artery on invasive evaluation and a ventricular septal rupture on echocardiogram. Cardiac computed tomography (CT) was performed to better define the septal anatomy. As the anatomy on cardiac CT was considered unfavorable for percutaneous intervention, the patient underwent successful surgical repair.

摘要

一位 61 岁女性患者因亚急性心肌梗死就诊,经有创评估发现右冠状动脉闭塞,并在超声心动图上发现室间隔破裂。进行了心脏计算机断层扫描(CT)以更好地定义间隔解剖结构。由于心脏 CT 上的解剖结构不适合经皮介入治疗,患者成功接受了手术修复。

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