Pires de Morais Gustavo, Paulo Nelson, Vieira Miguel Silva, Sampaio Francisco, Bettencourt Nuno, Cabral Sofia, Ribeiro José, Fonseca Conceição, Torres Severo, Vouga Luís, Gama Vasco
Cardiovascular Interventional Unit, Department of Cardiology, Gaia Hospital Center, Vila Nova de Gaia, Portugal.
Echocardiography. 2012 May;29(5):E112-4. doi: 10.1111/j.1540-8175.2011.01636.x. Epub 2012 Feb 13.
A 72-year-old man was admitted to the local hospital with non-ST elevation myocardial infarction. In the first 24 hours, a new onset apical murmur was heard. Transthoracic and transesophageal echocardiography showed interventricular septal (IVS) rupture and dissection of the right ventricle (RV) wall forming an echolucent pseudocavity that partially occupied the RV and communicated with the true RV cavity. Multislice computed tomography characterized in detail the IVS and RV wall dissection, and further showed the right coronary artery in the outer border of the RV and pseudocavity, excluding pericardial fluid. Despite surgical correction, progression to cardiogenic shock and death occurred 33 days after admission.
一名72岁男性因非ST段抬高型心肌梗死入住当地医院。在最初的24小时内，听诊发现新出现的心尖部杂音。经胸和经食管超声心动图显示室间隔破裂以及右心室壁夹层形成一个无回声假腔，该假腔部分占据右心室并与真正的右心室腔相通。多层计算机断层扫描详细描述了室间隔和右心室壁夹层情况，还进一步显示右冠状动脉位于右心室和假腔的外缘，排除了心包积液。尽管进行了手术矫正，但患者在入院33天后进展为心源性休克并死亡。
