急性心肌梗死后心肌游离壁破裂：经皮主动脉内球囊反搏辅助下的生存情况

Myocardial free-wall rupture after acute infarction: survival aided by percutaneous intraaortic balloon counterpulsation.

作者信息

Hochreiter C, Goldstein J, Borer J S, Tyberg T, Goldberg H L, Subramanian V, Rosenfeld I

出版信息

Circulation. 1982 Jun;65(6):1279-82. doi: 10.1161/01.cir.65.6.1279.

DOI:10.1161/01.cir.65.6.1279

Abstract

After his first acute myocardial infarction, a 69-year-old male suffered the usually lethal complication of ventricular free-wall rupture. Early suspicion of possible rupture and immediate percutaneous insertion of an intraaortic balloon pump assist device afforded sufficient hemodynamic stability to proceed with cardiac catheterization. The diagnosis of ventricular free-wall rupture was confirmed and the extent of coronary artery disease defined. The patient underwent repair of the free-wall rupture and coronary artery bypass grafting and has returned to full activity.

摘要

一名69岁男性在首次急性心肌梗死后，出现了通常致命的心室游离壁破裂并发症。早期怀疑可能破裂并立即经皮插入主动脉内球囊泵辅助装置，为进行心脏导管插入术提供了足够的血流动力学稳定性。心室游离壁破裂的诊断得到证实，同时明确了冠状动脉疾病的程度。该患者接受了游离壁破裂修复和冠状动脉旁路移植术，现已恢复正常活动。