Marques João Silva, Jorge Cláudia, Martins Susana Robalo, Feijão Ana, Diogo António Nunes
Department of Cardiology I, CHLN,EPE- Hospital de Santa Maria, Av. Prof. Egas Moniz, Lisbon, Portugal.
Eur J Echocardiogr. 2011 Apr;12(4):E29. doi: 10.1093/ejechocard/jer002. Epub 2011 Feb 16.
Transthoracic echocardiography is the modality of choice for the bedside diagnosis of acute myocardial infarction mechanical complications. We report the case of a ventricular septal rupture occurring soon after inferior myocardial infarction, revascularized by primary angioplasty. This challenging diagnosis was elucidated by 3D-echocardiography as 2D-imaging was not conclusive. This case demonstrates the importance of 3D-echocardiography in a cardiac intensive care setting. It provided additional information to 2D-echocardiography by identifying and locating post-acute myocardial infarction (AMI) septal rupture with implications for planning surgery.
经胸超声心动图是急性心肌梗死机械性并发症床旁诊断的首选方法。我们报告了1例下壁心肌梗死后不久发生室间隔破裂的病例，该患者接受了直接血管成形术进行血运重建。由于二维成像不能确诊，三维超声心动图明确了这一具有挑战性的诊断。该病例证明了三维超声心动图在心脏重症监护环境中的重要性。它通过识别和定位急性心肌梗死后室间隔破裂，为二维超声心动图提供了额外信息，对手术规划具有重要意义。
