Willecke Florian, Bode Christoph, Zirlik Andreas
University Heart Center Freiburg, Cardiology and Angiology I, 79106 Freiburg, Germany.
Case Rep Vasc Med. 2013;2013:412341. doi: 10.1155/2013/412341. Epub 2013 Jun 27.
Rupture of the ventricular myocardium is an often lethal complication after myocardial infarction. Due to the dramatic hemodynamics and the short time frame between ventricular rupture and surgical closure of the defect, additional therapeutic strategies are needed. Here we report the successful therapy of ventricular rupture by percutaneous intrapericardial instillation of fibrin glue in a 72-year-old male patient with postinfarct angina secondary to anterior myocardial infarction.
心室心肌破裂是心肌梗死后一种常致命的并发症。由于其显著的血流动力学变化以及心室破裂至手术闭合缺损之间的时间很短,因此需要额外的治疗策略。在此,我们报告了一名72岁男性患者,因前壁心肌梗死继发梗死后心绞痛,通过经皮心包内注射纤维蛋白胶成功治疗心室破裂的病例。