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心肌梗死后室间隔缺损:一例罕见但严重并发症的病例报告

Post-myocardial Infarction Ventricular Septal Defect: A Case Report of a Rare but Devastating Complication.

作者信息

Habeb Bola, Short Lillian, Mando Nur, Thomson Erica S, Amin Rohit

机构信息

Internal Medicine, University of Florida College of Medicine, Ascension Sacred Heart, Pensacola, USA.

Cardiology, University of Florida College of Medicine, Ascension Sacred Heart, Pensacola, USA.

出版信息

Cureus. 2025 Feb 21;17(2):e79415. doi: 10.7759/cureus.79415. eCollection 2025 Feb.

Abstract

Post-myocardial infarction ventricular septal defect (PMI-VSD) is a rare but serious complication of acute myocardial infarction, characterized by a rupture in the interventricular septum. Patients typically present with symptoms of cardiogenic shock, a new systolic murmur, and heart failure. Diagnosis is confirmed through echocardiography with Doppler imaging. Management involves hemodynamic stabilization and definitive repair via surgical or percutaneous approaches. Despite advances in treatment, PMI-VSD is associated with high mortality, highlighting the importance of early detection and prompt intervention.

摘要

心肌梗死后室间隔缺损(PMI-VSD)是急性心肌梗死一种罕见但严重的并发症,其特征为室间隔破裂。患者通常表现为心源性休克、新出现的收缩期杂音和心力衰竭的症状。通过超声心动图及多普勒成像确诊。治疗包括血流动力学稳定以及通过手术或经皮途径进行确定性修复。尽管治疗取得了进展,但PMI-VSD仍与高死亡率相关,凸显了早期检测和及时干预的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1935/11931598/76269876a792/cureus-0017-00000079415-i01.jpg

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