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急性心肌梗死所致左心室游离壁破裂后的生存情况。

Survival after left ventricular free wall rupture due to acute myocardial infarction.

作者信息

Hosseinzadeh-Maleki Mahmood, Valizadeh Niloufar, Rafatpanah Niloofar, Moezi Seyed Ali

机构信息

Assistant Professor, Atherosclerosis and Coronary Artery Research Center AND Department of Cardiovascular Surgery, School of Medicine, Birjand University of Medical Sciences, Birjand, Iran.

Student of Medicine, Atherosclerosis and Coronary Artery Research Center AND School of Medicine, Birjand University of Medical Sciences, Birjand, Iran.

出版信息

ARYA Atheroscler. 2015 Sep;11(5):310-3.

PMID:26715937
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4680080/
Abstract

BACKGROUND

Left ventricular free wall rupture is a frequent catastrophic complication of acute myocardial infarction (AMI) and occurs in 1-3% of patients with acute myocardial infarction; it is the third most common cause of death caused by acute myocardial infarction, too.

CASE REPORT

We describe acute left ventricular free wall rupture due to acute myocardial infarction in a 60-year-old man. He was survived after urgent surgical intervention.

CONCLUSION

The long-term survivors of free wall rupture repair have not been extensively reported; early diagnosis is very critical and immediate surgical repair is the treatment of choice.

摘要

背景

左心室游离壁破裂是急性心肌梗死(AMI)常见的灾难性并发症,在急性心肌梗死患者中发生率为1% - 3%;它也是急性心肌梗死导致死亡的第三大常见原因。

病例报告

我们描述了一名60岁男性因急性心肌梗死导致的急性左心室游离壁破裂。经紧急手术干预后他存活了下来。

结论

游离壁破裂修复的长期存活者尚未有广泛报道;早期诊断至关重要,立即手术修复是首选治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3d4/4680080/f80e374f14ac/ARYA-11-310f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3d4/4680080/6c28c585adfd/ARYA-11-310f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3d4/4680080/bf6b6751b8fc/ARYA-11-310f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3d4/4680080/5bd81f261e53/ARYA-11-310f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3d4/4680080/f80e374f14ac/ARYA-11-310f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3d4/4680080/6c28c585adfd/ARYA-11-310f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3d4/4680080/bf6b6751b8fc/ARYA-11-310f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3d4/4680080/5bd81f261e53/ARYA-11-310f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3d4/4680080/f80e374f14ac/ARYA-11-310f4.jpg

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本文引用的文献

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Survival after left ventricular free wall rupture in an elderly woman with acute myocardial infarction treated only medically.一名仅接受药物治疗的老年急性心肌梗死女性患者左心室游离壁破裂后的生存情况。
Case Rep Vasc Med. 2012;2012:728602. doi: 10.1155/2012/728602. Epub 2012 Mar 26.
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Left ventricular pseudoaneurysm.左心室假性动脉瘤。
J Am Coll Cardiol. 1998 Sep;32(3):557-61. doi: 10.1016/s0735-1097(98)00290-3.
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Surgical salvage of heart rupture: report of two cases and review of the literature.
治愈破碎的心:一例左心室游离壁破裂病例报告及文献综述
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Postinfarction rupture of the left ventricular free wall: clinicopathologic correlates in 100 consecutive autopsy cases.左心室游离壁心肌梗死后破裂:100例连续尸检病例的临床病理相关性
Hum Pathol. 1990 May;21(5):530-5. doi: 10.1016/0046-8177(90)90010-3.
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Ventricular free-wall rupture after myocardial infarction. Treatment and outcome.心肌梗死后心室游离壁破裂。治疗与结局。
Chest. 1991 Apr;99(4):892-5. doi: 10.1378/chest.99.4.892.