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不明原因的室间隔破裂导致新发心力衰竭:前壁心肌梗死的罕见并发症。

An Undiagnosed Ventricular Septal Rupture Presenting as New Onset Heart Failure: A Rare Complication of an Anterior Myocardial Infarction.

机构信息

Houston Methodist, Houston, Texas, US.

出版信息

Methodist Debakey Cardiovasc J. 2022 Dec 5;18(1):113-116. doi: 10.14797/mdcvj.1157. eCollection 2022.

Abstract

Ventricular septal ruptures (VSR) are a rare but fatal complication of acute myocardial infarctions. We present a patient complaining of new onset heart failure symptoms that were found to be secondary to a new ventricular septal rupture from a recently undiagnosed anterior myocardial infarction. The patient underwent successful VSR patch repair with eventual recovery. This case highlights the importance of early diagnosis of VSR and reviews management options and appropriate timing for intervention.

摘要

室间隔破裂(VSR)是急性心肌梗死的一种罕见但致命的并发症。我们报告了一例新出现心力衰竭症状的患者,该症状继发于最近未诊断出的前壁心肌梗死引起的新的室间隔破裂。患者成功地进行了 VSR 补丁修复,最终康复。本病例强调了早期诊断 VSR 的重要性,并回顾了治疗选择和干预的适当时机。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baaa/9733135/a80f44dfb6f3/mdcvj-18-1-1157-g1.jpg

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