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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.

DOI:10.1016/j.radcr.2024.11.002
PMID:39659688
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11629480/
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/6c12/11629480/6da788f66b48/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c12/11629480/a78503b2364b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c12/11629480/c4d145b92007/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c12/11629480/6da788f66b48/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c12/11629480/a78503b2364b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c12/11629480/c4d145b92007/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c12/11629480/6da788f66b48/gr5.jpg

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本文引用的文献

1
Ventricular apical wall rupture and ventricular aneurysm formation concurrent with ventricular septal dissection and rupture due to ST-segment elevation myocardial infarction: a case report.ST段抬高型心肌梗死并发心室尖壁破裂、室壁瘤形成及室间隔夹层分离和破裂:1例病例报告
BMC Cardiovasc Disord. 2024 Apr 23;24(1):222. doi: 10.1186/s12872-024-03879-y.
2
A rare case of concurrent left ventricular aneurysm and ventricular septal rupture complicating an inferior myocardial infarction: a case report.并发左心室动脉瘤和室间隔破裂的急性下壁心肌梗死:1 例报告。
Pan Afr Med J. 2023 Jun 2;45:74. doi: 10.11604/pamj.2023.45.74.39612. eCollection 2023.
3
Surgical management for mechanical complications of acute myocardial infarction: a systematic review of long-term outcomes.
急性心肌梗死机械并发症的外科治疗:长期预后的系统评价
Ann Cardiothorac Surg. 2022 May;11(3):239-251. doi: 10.21037/acs-2021-ami-20.
4
Optimal surgical timing after post-infarction ventricular septal rupture.梗死后室间隔破裂的最佳手术时机。
Cardiol J. 2022;29(5):773-781. doi: 10.5603/CJ.a2022.0035. Epub 2022 May 17.
5
Risk factors for cardiac rupture after acute ST-segment elevation myocardial infarction during the percutaneous coronary intervention era: a retrospective case-control study.经皮冠状动脉介入治疗时代急性ST段抬高型心肌梗死心脏破裂的危险因素:一项回顾性病例对照研究
J Thorac Dis. 2022 Apr;14(4):1256-1266. doi: 10.21037/jtd-22-394.
6
Aneurysm and pseudoaneurysm of the left ventricle.左心室动脉瘤和假性动脉瘤。
Ann Med Surg (Lond). 2022 Feb 24;75:103405. doi: 10.1016/j.amsu.2022.103405. eCollection 2022 Mar.
7
Mechanical Complications of Acute Myocardial Infarction: A Scientific Statement From the American Heart Association.急性心肌梗死的机械并发症:美国心脏协会的科学声明。
Circulation. 2021 Jul 13;144(2):e16-e35. doi: 10.1161/CIR.0000000000000985. Epub 2021 Jun 15.
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Concomitant transcatheter closure of post-myocardial infarction ventricular septal defect and inferior wall aneurysm: case report.经导管同期封堵心肌梗死后室间隔缺损合并下壁动脉瘤:病例报告
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JAMA Cardiol. 2021 Mar 1;6(3):341-349. doi: 10.1001/jamacardio.2020.3690.
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