Okamura Homare, Arakawa Mamoru, Takeuchi Taro, Adachi Hideo
Department of Cardiovascular Surgery, Nerima Hikarigaoka Hospital, Tokyo, Japan.
Interact Cardiovasc Thorac Surg. 2019 Mar 1;28(3):499-501. doi: 10.1093/icvts/ivy283.
Ventricular septal rupture is an uncommon fatal complication of acute myocardial infarction. In rare cases, the rupture can extend into the right ventricular free wall and cause intramyocardial dissection. We describe the case of a patient who developed postinfarction right ventricular free wall dissection with left-to-right shunting and successfully underwent patch repair.
室间隔破裂是急性心肌梗死一种罕见的致命并发症。在极少数情况下,破裂可延伸至右心室游离壁并导致心肌内夹层形成。我们描述了一例发生心肌梗死后右心室游离壁夹层并伴有左向右分流的患者,该患者成功接受了补片修补术。