Department of Cardiology, University Hospital of Liège, Belgium.
Heart Lung. 2012 Mar-Apr;41(2):200-2. doi: 10.1016/j.hrtlng.2011.04.001.
We report the case of a patient admitted at the emergency unit after a severe car accident. As ECG showed a ST segment elevation in all leads, the working diagnosis was coronary dissection. Coronary angiography revealed a large interventricular septal rupture, confirmed by echocardiography. After discussion and as haemodynamics permitted, 6 weeks of medical observation were decided. A surgical repair was then performed, and provided a perfect repair of the shunt. We discuss about the prevalence and management of this rare traumatic complication.
我们报告了一例严重车祸后入住急诊部的患者。由于心电图显示所有导联 ST 段抬高，初步诊断为冠状动脉夹层。冠状动脉造影显示巨大室间隔破裂，经超声心动图证实。经讨论，在血流动力学允许的情况下，决定进行 6 周的医学观察。随后进行了手术修复，实现了分流的完美修复。我们讨论了这种罕见的创伤性并发症的发生率和处理方法。
