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并发左心室假性动脉瘤和室间隔破裂的下壁心肌梗死:一例报告

Concurrent left ventricular pseudoaneurysm and ventricular septal rupture complicating an inferior myocardial infarction: A case report.

作者信息

Turkistani Yosra Abdulahad, Al-Harbi Sara Hajij, Aboul-Enein Fatma Adel

机构信息

Faculty of Medicine, Umm Al-Qura University, Mecca, Saudi Arabia.

Department of Cardiology, King Abdullah Medical City, Mecca, Saudi Arabia.

出版信息

Radiol Case Rep. 2024 Nov 28;20(2):1075-1081. doi: 10.1016/j.radcr.2024.11.002. eCollection 2025 Feb.

Abstract

The mechanical complications postmyocardial infarction are individually uncommon but potentially life-threatening. The simultaneous occurrence of more than one complication in a single patient is rare and presents a significant diagnostic and therapeutic challenge. We present a case of concurrent left ventricular pseudoaneurysm and ventricular septal rupture post a late presentation, inferoposterior myocardial infarction. This case highlights the importance of multimodality imaging in correctly diagnosing and properly guiding the management plan for these complications, which can dramatically impact patient outcomes.

摘要

心肌梗死后的机械性并发症虽然单个病例并不常见,但可能危及生命。同一患者同时出现不止一种并发症的情况罕见,并且带来了重大的诊断和治疗挑战。我们报告一例晚期下后壁心肌梗死后并发左心室假性动脉瘤和室间隔破裂的病例。该病例凸显了多模态成像在正确诊断和合理指导这些并发症治疗方案方面的重要性,这些治疗方案会对患者预后产生重大影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c12/11629480/a78503b2364b/gr3.jpg

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