非阻塞性冠状动脉心肌梗死所致室间隔破裂
Ventricular Septal Rupture Caused by Myocardial Infarction With Nonobstructive Coronary Arteries.
作者信息
Matsuo Koki, Yamamoto Hiroyuki, Oishi Shogo, Nakai Tokiko, Takaya Tomofumi
机构信息
Division of Cardiovascular Medicine, Department of Internal Medicine, Hyogo Prefectural Harima-Himeji General Medical Center, Himeji, Japan.
Department of Diagnostic Pathology, Hyogo Prefectural Harima-Himeji General Medical Center, Himeji, Japan.
出版信息
JACC Case Rep. 2023 Mar 15;10:101768. doi: 10.1016/j.jaccas.2023.101768.
Myocardial infarction with nonobstructive coronary arteries (MINOCA) has poor long-term cardiovascular outcomes, similar to myocardial infarction with conventional atherogenic coronary artery disease. However, MINOCA-related mechanical complications are rarely reported. We report a case of an octogenarian woman diagnosed with MINOCA-related ventricular septal rupture assessed by multimodal images, including autopsy findings. ().
非阻塞性冠状动脉心肌梗死（MINOCA）的长期心血管结局较差，与传统动脉粥样硬化性冠状动脉疾病所致心肌梗死相似。然而，与MINOCA相关的机械性并发症鲜有报道。我们报告一例通过多模态影像（包括尸检结果）评估诊断为与MINOCA相关的室间隔破裂的老年女性病例。（）
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