即将发生的心肌破裂：早期手术治疗是否足够？
Impending myocardial rupture: is an early surgical treatment enough?
作者信息
Lanzellotti Davide, Marzot Filippo, Guglielmi Cosimo, Panfili Marco
机构信息
Scienze Cardiologiche, Toraciche E Vascolari, Azienda Ospedaliera Di Padova, Padova, Italy.
出版信息
BMJ Case Rep. 2011 Sep 19;2011:bcr0720114498. doi: 10.1136/bcr.07.2011.4498.
Abstract
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.
摘要
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。
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本文引用的文献
1
Sutureless pericardial patch augmentation for impending left ventricular free wall rupture.无缝合心包补片增强术治疗左心室游离壁即将破裂
Interact Cardiovasc Thorac Surg. 2010 Feb;10(2):341-3. doi: 10.1510/icvts.2009.217125. Epub 2009 Nov 11.
2
Cardiac CT and MRI guide surgery in impending left ventricular rupture after acute myocardial infarction.心脏CT和MRI指导急性心肌梗死后即将发生的左心室破裂的手术。
J Cardiothorac Surg. 2009 Aug 12;4:42. doi: 10.1186/1749-8090-4-42.
3
Management of acute myocardial infarction in patients presenting with persistent ST-segment elevation: the Task Force on the Management of ST-Segment Elevation Acute Myocardial Infarction of the European Society of Cardiology.持续性ST段抬高型急性心肌梗死患者的管理：欧洲心脏病学会ST段抬高型急性心肌梗死管理工作组
Eur Heart J. 2008 Dec;29(23):2909-45. doi: 10.1093/eurheartj/ehn416. Epub 2008 Nov 12.
4
Peculiar angiographic predictors of impending left ventricular rupture after primary coronary angioplasty.
Cardiovasc Revasc Med. 2008 Oct-Dec;9(4):235-7. doi: 10.1016/j.carrev.2007.12.005.
5
Complications of myocardial infarction.
Crit Care Med. 2007 Aug;35(8 Suppl):S348-54. doi: 10.1097/01.CCM.0000270244.90395.67.
6
Subacute left ventricle free wall rupture after acute myocardial infarction: awareness of the clinical signs and early use of echocardiography may be life-saving.急性心肌梗死后亚急性左心室游离壁破裂：认识临床体征并早期使用超声心动图可能挽救生命。
Cardiovasc Ultrasound. 2006 Nov 22;4:46. doi: 10.1186/1476-7120-4-46.
7
Left ventricular free wall impeding rupture in post-myocardial infarction period diagnosed by myocardial contrast echocardiography: case report.心肌对比超声心动图诊断心肌梗死后左心室游离壁濒临破裂：病例报告
Cardiovasc Ultrasound. 2006 Jan 26;4:7. doi: 10.1186/1476-7120-4-7.
8
ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction; A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the 1999 Guidelines for the Management of patients with acute myocardial infarction).美国心脏病学会/美国心脏协会ST段抬高型心肌梗死患者管理指南；美国心脏病学会/美国心脏协会实践指南工作组（修订1999年急性心肌梗死患者管理指南委员会）报告
J Am Coll Cardiol. 2004 Aug 4;44(3):E1-E211. doi: 10.1016/j.jacc.2004.07.014.
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Eur J Cardiothorac Surg. 2002 Apr;21(4):725-31; discussion 731-2. doi: 10.1016/s1010-7940(02)00054-4.
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