Gulkarov Iosif M, Anez-Bustillos Lorenzo, Wong S Chiu, Salemi Arash
Department of Cardiothoracic Surgery, New York Presbyterian Hospital-Weill Cornell Medical College, New York 10065, USA.
Cardiology. 2010;116(3):183-5. doi: 10.1159/000315551. Epub 2010 Jul 16.
Development of ventricular septal defect (VSD) is a rare but serious complication of transmural myocardial infarction (MI). The incidence of post-MI VSDs is reduced significantly with thrombolytic therapy, yet mortality remains high. Surgical repair is difficult and can be complicated by a recurrent VSD in some cases. Percutaneous catheter-based closure techniques can be used to treat these patients. This case report demonstrates the successful application of a hybrid approach utilizing initial surgical and subsequent percutaneous techniques for the recurrence in the treatment of a post-MI VSD.
室间隔缺损（VSD）的发生是透壁性心肌梗死（MI）一种罕见但严重的并发症。溶栓治疗可显著降低心肌梗死后室间隔缺损的发生率，但死亡率仍然很高。手术修复困难，在某些情况下可能并发室间隔缺损复发。基于经皮导管的封堵技术可用于治疗这些患者。本病例报告展示了一种混合方法的成功应用，该方法在治疗心肌梗死后室间隔缺损复发时采用了初始手术和随后的经皮技术。
