Schlesinger Z, Lieberman Y, Landesberg A, Neufeld H N
Thorax. 1971 Sep;26(5):615-8. doi: 10.1136/thx.26.5.615.
A successful simultaneous surgical repair of rupture of the interventricular septum and left ventricular aneurysm resulting from myocardial infarction is described. Very few similar cases have been described in the literature and in none was angiocardiography performed before operation. Preoperative angiocardiographic examination to demonstrate a ventricular aneurysm is of major importance in all cases of rupture of the interventricular septum following myocardial infarction. The right heart approach with injection of contrast material into the main pulmonary artery is shown to be the method of choice for this purpose.
本文描述了一例成功的同时手术修复心肌梗死导致的室间隔破裂和左心室室壁瘤。文献中报道的类似病例极少，且均未在术前进行心血管造影。术前进行心血管造影以显示室壁瘤，对于所有心肌梗死后室间隔破裂的病例都至关重要。经右心途径将造影剂注入主肺动脉被证明是实现这一目的的首选方法。
