急性室间隔缺损修复术后右心室功能的恢复
Recovery of right ventricular function following repair of acute ventricular septal defect.
作者信息
Goldman M E, Horowitz S F, Meller J, Mindich B, Teichholz L E
出版信息
Chest. 1982 Jul;82(1):59-63. doi: 10.1378/chest.82.1.59.
Ventricular septal defect is a serious complication of acute myocardial infarction with a high mortality rate. Right ventricular dysfunction, which frequently accompanies septal defect, can be due to several etiologies. We describe two cases of septal defect following infarction, with sequential studies of right and left ventricular function. Right ventricular infarction was found in both patients. Postoperatively, the right ventricular ejection fraction improved significantly. The pathophysiology and expectation for recovery are discussed.
室间隔缺损是急性心肌梗死的一种严重并发症，死亡率很高。常伴随室间隔缺损的右心室功能障碍可能由多种病因引起。我们描述了两例心肌梗死后室间隔缺损的病例，并对左右心室功能进行了连续研究。两名患者均发现有右心室梗死。术后，右心室射血分数显著改善。本文讨论了其病理生理学及恢复预期。
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