Arrivi Alessio, Borghetti Valentino
Santa Maria University Hospital, Via Tristano di Joannuccio 1, 05100, Terni, Italy.
J Invasive Cardiol. 2022 Mar;34(3):E253-E254. doi: 10.25270/jic/21.00378.
A 69-year-old male was referred to our cath lab for primary percutaneous coronary intervention due to acute anterior ST-segment elevation myocardial infarction. Left coronary angiography revealed acute occlusion of the proximal left anterior descending artery. After several additional diagnostic procedures and implantation of a drug-eluting stent, an abrupt clinical deterioration manifested with sudden hypotension. There was evidence of cardiac tamponade, and the constant supply of blood from the pericardium along with the development of cardiogenic shock state led us to suspect cardiac laceration. This imaging series illustrates a heart team operating in vivo on a rare acute myocardial infarction mechanical complication, which occurred soon after primary percutaneous coronary intervention.
一名69岁男性因急性前壁ST段抬高型心肌梗死被转诊至我院导管室进行直接经皮冠状动脉介入治疗。左冠状动脉造影显示左前降支近端急性闭塞。经过几次额外的诊断程序并植入药物洗脱支架后，患者突然出现临床恶化，表现为突发低血压。有心脏压塞的证据，心包持续出血以及心源性休克状态的发展使我们怀疑心脏撕裂伤。本影像系列展示了心脏团队对一种罕见的急性心肌梗死机械并发症进行的体内手术，该并发症发生在直接经皮冠状动脉介入治疗后不久。
