Petrou Emmanouil, Vartela Vasiliki, Kostopoulou Anna, Georgiadou Panagiota, Mastorakou Irene, Kogerakis Nektarios, Sfyrakis Petros, Athanassopoulos George, Karatasakis George
Emmanouil Petrou, Vasiliki Vartela, Anna Kostopoulou, Panagiota Georgiadou, George Athanassopoulos, George Karatasakis, Division of Cardiology, Onassis Cardiac Surgery Center, GR-17674 Athens, Greece.
World J Clin Cases. 2014 Oct 16;2(10):581-6. doi: 10.12998/wjcc.v2.i10.581.
Left ventricular wall rupture (LVWR) comprises a complication of acute myocardial infarction (AMI). Acute LVWR is a fatal condition, unless the formation of a pseudoaneurysm occurs. Several risk factors have been described, predisposing to LVWR. High index of suspicion and imaging techniques, namely echocardiography and computed tomography, are the cornerstones of timely diagnosis of the condition. As LVWR usually leads to death, emergency surgery is the treatment of choice, resulting in significant reduction in mortality and providing favorable short-term outcomes and adequate prognosis during late follow-up. Herein, we present two patients who were diagnosed with LVWR following AMI, and subsequent pseudoaneurysm formation. In parallel, we review the aforementioned condition.
左心室壁破裂(LVWR)是急性心肌梗死(AMI)的一种并发症。急性LVWR是一种致命状况,除非形成假性动脉瘤。已经描述了几种易导致LVWR的危险因素。高度怀疑指数以及影像学技术,即超声心动图和计算机断层扫描,是及时诊断该病症的基石。由于LVWR通常会导致死亡,急诊手术是首选治疗方法,可显著降低死亡率,并在短期产生良好结果以及在后期随访中提供良好的预后。在此,我们介绍两名在AMI后被诊断为LVWR并随后形成假性动脉瘤的患者。同时,我们对上述病症进行综述。