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心肌梗死后左心室壁内夹层。

Left ventricular intra-myocardial dissection after myocardial infarction.

机构信息

Radiology Department, Rajaei Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.

Rajaei Cardiovascular, Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Echocardiography. 2020 Dec;37(12):2160-2162. doi: 10.1111/echo.14843. Epub 2020 Nov 5.

Abstract

Left ventricular (LV) intra-myocardial dissection or dissecting hematoma is a rare complication of myocardial infarction that could occur in the acute phase, during remodeling process and even after coronary revascularization. LV intra-myocardial dissection has a high mortality, and the best management strategy remains controversial. Here, we present a case of dissection of left ventricle late after anterior myocardial infarction diagnosed by multimodality imaging.

摘要

左心室(LV)心肌内夹层或夹层血肿是心肌梗死的一种罕见并发症,可发生在急性期、重塑过程中,甚至在冠状动脉血运重建后。LV 心肌内夹层死亡率高,最佳治疗策略仍存在争议。在此,我们报告了一例前壁心肌梗死后晚期通过多模态影像学诊断的左心室夹层病例。

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