Amorosi Natasha M, White Alison
School of Environment and Science, Griffith University, Brisbane, Australia.
Ultrasound. 2020 Aug;28(3):196-201. doi: 10.1177/1742271X20901850. Epub 2020 Jan 28.
Ventricular septal rupture is a rare and potentially fatal complication of transmural myocardial infarction. Early identification utilising transthoracic echocardiography significantly improves long term outcomes in these patients. We report on a case of a 77-year-old male who presented with signs and symptoms of cardiac failure and a loud systolic murmur. The patient underwent an initial point-of-care ultrasound which revealed evidence of a transmural myocardial infarction and a high suspicion of an apical ventricular septal rupture. A complete transthoracic echocardiogram confirmed the septal rupture diagnosis and the patient subsequently underwent surgical repair of the ventricular rupture. This case highlights the role of echocardiography in decreasing adverse outcomes in patients with ventricular septal rupture.
室间隔破裂是透壁性心肌梗死罕见且可能致命的并发症。利用经胸超声心动图进行早期识别可显著改善这些患者的长期预后。我们报告一例77岁男性患者，其出现心力衰竭体征和症状以及响亮的收缩期杂音。患者接受了床旁即时超声检查，结果显示有透壁性心肌梗死迹象且高度怀疑心尖部室间隔破裂。完整的经胸超声心动图证实了室间隔破裂的诊断，该患者随后接受了心室破裂的手术修复。本病例突出了超声心动图在降低室间隔破裂患者不良结局方面的作用。
