Don G L, de Guernica J, Díaz Gavier M
Rev Fac Cien Med Univ Nac Cordoba. 1987;45(2):31-2.
We report six patients from our Intensive Care Unit with ventricular septal rupture (VSR) post acute myocardial infarction. There were 3 males and 3 females, mean age 57.8. None of them had prior myocardial infarction. Four patients had recent onset angina and 2 had not previous angina. Inferior wall myocardial infarction was two-fold times more frequent than anterior wall infarction. Three patients had right ventricular infarction. Early severe heart failure was present in 85% of patients, being sudden in onset in 3. In 2 patients surgical closure of VSR was performed, being it successful in 1 with good long-term survival. In conclusion, VSR is a serious complication of acute myocardial infarction. Accuracy in diagnosis and solid therapeutic measures are required.
我们报告了来自我们重症监护病房的6例急性心肌梗死后室间隔破裂（VSR）患者。其中男性3例，女性3例，平均年龄57.8岁。他们均无前壁心肌梗死病史。4例患者近期出现心绞痛，2例既往无心绞痛。下壁心肌梗死的发生率是前壁梗死的两倍。3例患者有右心室梗死。85%的患者早期出现严重心力衰竭，其中3例起病突然。2例患者接受了VSR手术闭合治疗，1例成功，长期生存良好。总之，VSR是急性心肌梗死的严重并发症。需要准确的诊断和可靠的治疗措施。
