Li Xiao-hong, Zhao Ying, Dong Jianzeng, He Yihua, Liu Wenxu, Han Jiancheng
Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Ultrasound Department, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
J Clin Ultrasound. 2015 Oct;43(8):512-5. doi: 10.1002/jcu.22235. Epub 2014 Sep 8.
A 76-year-old man under stable hemodynamic condition was admitted to our hospital for delayed percutaneous coronary intervention following a diagnosis of acute inferior myocardial infarction. Bedside echocardiography revealed ventricular septal rupture at the basal posteroinferior wall with a large left-to-right shunt. Right ventricular free-wall intramyocardial dissection and tricuspid chordae rupture were noted. Coronary angiography demonstrated occlusion of the proximal right coronary artery, which was treated by balloon angioplasty and stenting. While preparing for surgical repair, the patient's overall cardiac and renal function deteriorated and surgery was contraindicated. The patient died 16 days after discharge.
一名76岁男性，血流动力学稳定，因急性下壁心肌梗死诊断后延迟进行经皮冠状动脉介入治疗而入住我院。床旁超声心动图显示基底后下壁室间隔破裂，伴有大量左向右分流。右心室游离壁心肌内夹层分离和三尖瓣腱索破裂。冠状动脉造影显示右冠状动脉近端闭塞，通过球囊血管成形术和支架置入术进行了治疗。在准备手术修复时，患者的整体心脏和肾功能恶化，手术被列为禁忌。患者出院后16天死亡。
