Casazza F, Bongarzoni A, Malaspina D, Boeri R
Divisione di Cardiologia, Ospedale San Carlo Borromeo, Milano.
G Ital Cardiol. 1994 Aug;24(8):993-6.
The authors describe the association of a right ventricular pseudoaneurysm and ventricular septal rupture at the onset of an acute inferior and right myocardial infarction. The patient, a 84-year-old man, presented with cardiogenic shock and died within a few hours with electromechanical dissociation. The diagnosis was made by Echo-color flow mapping and confirmed at autopsy. The authors point out the singleness of such association and the diagnostic value of Echo-Doppler in the early assessment of the mechanical complications of myocardial infarction.
作者描述了急性下壁和右心室心肌梗死发作时右心室假性动脉瘤与室间隔破裂之间的关联。该患者为一名84岁男性,表现为心源性休克,数小时内死于电机械分离。诊断通过超声彩色血流图做出,并经尸检证实。作者指出这种关联的独特性以及超声多普勒在心肌梗死机械并发症早期评估中的诊断价值。