经导管封堵心肌梗死后亚急性室间隔缺损：一例报告

Transcatheter Closure of Post Infarction Subacute Ventricular Septal Defect: A Case Report.

作者信息

Iqbal S M, Shahriar A, Kabir F I, Hoque M H, Arzu J, Amin M R, Ear-E-Mahabub S M, Joarder A I, Banerjee R S, Shakil S S

机构信息

Dr SM Mamun Iqbal, Senior Consultant, Cardiology, AFC Health Fortis Heart Institute, Khulna, Bangladesh.

出版信息

Mymensingh Med J. 2019 Apr;28(2):474-478.

PMID:31086170

Abstract

Ventricular septal rupture (VSR) is an uncommon but lethal complication of acute myocardial infarction (MI). Although early surgical closure is the treatment of choice, hospital mortality after emergency surgery remains high. Transcatheter closure of post myocardial infarction ventricular septal defect (PIVSD) has emerged as a potential treatment option in selected cases. Herein, we report a case present in AFC Health FORTIS Heart Institute, Khulna, Bangladesh on 10 February 2017 of sub acute post-MI VSR that was successfully closed using an Amplatzerseptal occlude (ASD) device. The patient had undergone primary percutaneous coronary intervention (PCI) 15 days earlier in the setting of acute MI.

摘要

室间隔破裂（VSR）是急性心肌梗死（MI）一种罕见但致命的并发症。尽管早期手术闭合是首选治疗方法，但急诊手术后的医院死亡率仍然很高。经导管闭合心肌梗死后室间隔缺损（PIVSD）已成为某些病例中的一种潜在治疗选择。在此，我们报告2017年2月10日在孟加拉国库尔纳AFC健康福蒂斯心脏研究所出现的一例亚急性心肌梗死后室间隔破裂病例，该病例使用Amplatzerseptal封堵器（ASD）成功闭合。患者在急性心肌梗死情况下于15天前接受了初次经皮冠状动脉介入治疗（PCI）。