前壁心肌梗死伴左心室流出道动态梗阻。

Anterior myocardial infarction with dynamic left ventricular outflow tract obstruction.

机构信息

Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts 02215, USA.

出版信息

Ann Thorac Surg. 2011 Mar;91(3):e39-40. doi: 10.1016/j.athoracsur.2010.10.087.

DOI:10.1016/j.athoracsur.2010.10.087

PMID:21352967

Abstract

We present the case of a 78-year-old woman who presented with acute anterior myocardial infraction. An intraoperative transesophageal echocardiogram revealed an akinetic apex with hyperkinesis of the basal segments causing systolic anterior motion of the mitral valve. The patient was immediately placed on cardiopulmonary bypass. Her postoperative course was uneventful. We present transesophageal and transthoracic echocardiographic videos showing this unique complication and describing the challenge of managing a patient who required opposing therapies.

摘要

我们报告了一例 78 岁女性患者，其表现为急性前壁心肌梗死。术中经食管超声心动图显示心尖部无运动，基底节段运动亢进，导致二尖瓣收缩期前向运动。患者立即被置于体外循环。她的术后过程顺利。我们呈现了经食管和经胸超声心动图视频，展示了这一独特的并发症，并描述了管理需要相反治疗的患者的挑战。