Phaneuf D C, Waters D D, Théroux P, Pelletier G, Mizgala H F
Cathet Cardiovasc Diagn. 1979;5(3):277-82. doi: 10.1002/ccd.1810050309.
This report describes a 70-year-old woman with biventricular failure following an anteroseptal infarction complicated by interventricular septal rupture. Treatment with nitroprusside followed by oral hydralazine eliminated the failure and reduced the shunt from 2.75 to 1 to 1.7 to 1. She is asymptomatic post-discharge. Chronic medical therapy including oral vasodilators may be an acceptable alternative to surgery in a small minority of patients with this complication of myocardial infarction.
本报告描述了一名70岁女性，在发生前间隔心肌梗死并发室间隔破裂后出现双心室衰竭。先用硝普钠治疗，后口服肼屈嗪，心力衰竭得以消除，分流从2.75比1降至1.7比1。出院后她无症状。对于一小部分患有这种心肌梗死并发症的患者，包括口服血管扩张剂在内的慢性药物治疗可能是手术的可接受替代方案。
