Lanzellotti Davide, Marzot Filippo, Guglielmi Cosimo, Panfili Marco
Scienze Cardiologiche, Toraciche E Vascolari, Azienda Ospedaliera Di Padova, Padova, Italy.
BMJ Case Rep. 2011 Sep 19;2011:bcr0720114498. doi: 10.1136/bcr.07.2011.4498.
A 53-year-old man with a high-risk cardiovascular profile presented to the emergency department for a subacute myocardial infarction with signs and symptoms suggesting impending myocardial rupture. The case seemed to be resolved by an early successful surgical intervention. At 6-month follow-up, after repeated cycles of cardiac rehabilitation, the echocardiography revealed a pseudo-aneurysm of the apex and a left-to-right shunt through an inter-ventricular septum defect. The patient needed a new surgical intervention to repair this unexpected complication.
一名患有高危心血管疾病的53岁男性因亚急性心肌梗死被送往急诊科，其症状和体征提示即将发生心肌破裂。该病例似乎通过早期成功的手术干预得到了解决。在6个月的随访中，经过反复的心脏康复周期后，超声心动图显示心尖部假性动脉瘤以及通过室间隔缺损的左向右分流。患者需要进行新的手术干预来修复这一意外并发症。
