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前壁ST段抬高型心肌梗死并发右心室游离壁破裂

Right Ventricular Free Wall Rupture Complicating Anterior STEMI.

作者信息

Ibrahem Abdalazeem, Farag Mohamed, Elzein Hind, Dundas James, Ramesh Bandigowdanapalya, Egred Mohaned

机构信息

Cardiothoracic Department, Freeman Hospital, Newcastle upon Tyne, United Kingdom.

School of Life and Medical Sciences, University of Hertfordshire, Hertfordshire, United Kingdom.

出版信息

JACC Case Rep. 2022 Jul 6;4(13):770-774. doi: 10.1016/j.jaccas.2022.04.028.

DOI:10.1016/j.jaccas.2022.04.028
PMID:35818593
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9270625/
Abstract

Ventricular free wall rupture is a rare but devastating complication. We report right ventricular free wall rupture complicating anterior ST-segment elevation myocardial infarction caused by a wrap-around left anterior descending coronary artery. In acute cardiac tamponade, a rapid and systematic evaluation of the likely source of bleeding is paramount to prevent disastrous outcomes. ().

摘要

心室游离壁破裂是一种罕见但极具破坏性的并发症。我们报告了一例右心室游离壁破裂，它使由左旋支环绕左前降支冠状动脉引起的前壁ST段抬高型心肌梗死病情复杂化。在急性心脏压塞时，对可能的出血来源进行快速、系统的评估对于防止灾难性后果至关重要。（）

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a3e/9270625/dd2e1bd1aaef/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a3e/9270625/86d189a2ec6c/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a3e/9270625/1a9f508e52f7/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a3e/9270625/7eb668ce236b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a3e/9270625/a1674d4f8377/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a3e/9270625/7e0a7b3bae48/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a3e/9270625/dd2e1bd1aaef/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a3e/9270625/86d189a2ec6c/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a3e/9270625/1a9f508e52f7/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a3e/9270625/7eb668ce236b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a3e/9270625/a1674d4f8377/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a3e/9270625/7e0a7b3bae48/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a3e/9270625/dd2e1bd1aaef/gr5.jpg

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本文引用的文献

1
Right Ventricular Free Wall Rupture After Myocardial Infarction.心肌梗死后右心室游离壁破裂
JACC Case Rep. 2021 Oct 20;3(14):1622-1624. doi: 10.1016/j.jaccas.2021.06.010.
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A rare case of post-infarction right ventricular rupture.心肌梗死后右心室破裂 1 例罕见报告。
Cardiovasc Pathol. 2020 Jul-Aug;47:107203. doi: 10.1016/j.carpath.2020.107203. Epub 2020 Jan 15.
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Fatal Right Ventricular Free Wall Rupture During Percutaneous Coronary Intervention for Inferior Acute Myocardial Infarction.下壁急性心肌梗死经皮冠状动脉介入治疗期间发生致命性右心室游离壁破裂
Am J Case Rep. 2019 Aug 7;20:1155-1158. doi: 10.12659/AJCR.917217.
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Rare mechanical complication of myocardial infarction: isolated right ventricle free wall rupture.心肌梗死的罕见机械并发症：孤立性右心室游离壁破裂。
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Right ventricular infarction: frequency, size and topography in coronary heart disease: a prospective study comprising 107 consecutive autopsies from a coronary care unit.右心室梗死：冠心病中的发生率、大小及部位：一项对冠心病监护病房连续107例尸检的前瞻性研究
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