经桡动脉行冠状动脉介入治疗致心肌梗死后心脏间隔缺损的成功早期外科治疗
Successful early surgical treatment of a post-MINOCA ventricular septal defect.
机构信息
Cardiac Surgery, Careggi University Hospital, Florence, Italy.
出版信息
J Card Surg. 2021 Nov;36(11):4407-4409. doi: 10.1111/jocs.15935. Epub 2021 Sep 7.
BACKGROUND
Acquired ventricular septal defect (VSD) is a life-threatening condition that occurred after a myocardial infarction (MI). The timing of the intervention remains very debated but it is crucial to choose the right surgical technique to obtain a stable and complete repair.
METHODS
We report the case of an acquired VSD that occurred after a MI without obstructions of coronary arteries (MINOCA). The defect was promptly treated with a double patch plus glue sandwich technique.
RESULTS
At the end of the procedure, echocardiographic data showed no residual shunt, and no major adverse cardiac and cerebrovascular events were reported during postoperative days or 6 months follow-up.
CONCLUSION
Our report suggests that MI's mechanical complications can occur even after a MINOCA.
背景
获得性室间隔缺损（VSD）是一种危及生命的疾病，发生在心肌梗死（MI）之后。干预的时机仍然存在很大争议，但选择正确的手术技术以获得稳定和完全的修复至关重要。
方法
我们报告了一例 MI 后发生的无冠状动脉阻塞（MINOCA）的获得性 VSD。该缺陷通过双补片加胶夹层技术迅速得到治疗。
结果
在手术结束时，超声心动图数据显示没有残余分流，并且在术后几天或 6 个月的随访中没有报告重大心脏和脑血管不良事件。
结论
我们的报告表明，即使在 MINOCA 后，MI 的机械并发症也可能发生。
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