Hanlon J T, Conrad A K, Combs D T, McLellan B A, Doolan K
Bend Memorial Clinic, OR.
J Am Soc Echocardiogr. 1993 Jan-Feb;6(1):101-3. doi: 10.1016/s0894-7317(14)80264-2.
Acute papillary muscle rupture complicating acute myocardial infarction represents a potentially lethal complication of acute myocardial infarction. Survival depends on prompt recognition and institution of immediate medical and surgical therapy. We present two cases of partial papillary muscle rupture in the setting of acute myocardial infarction and describe the echocardiographic features that may allow early recognition of this condition before complete rupture.
急性心肌梗死并发急性乳头肌破裂是急性心肌梗死一种潜在的致命并发症。患者能否存活取决于能否迅速识别并立即采取药物及手术治疗。我们报告两例急性心肌梗死伴部分乳头肌破裂的病例,并描述在完全破裂之前可能有助于早期识别这种情况的超声心动图特征。