Bortolotti U, Milano A, Scioti G, Tartarini G
Department of Cardiac Surgery, University of Pisa Medical School, Italy.
Clin Cardiol. 1997 Jul;20(7):660-1. doi: 10.1002/clc.4960200714.
A 60-year-old patient underwent triple coronary artery bypass grafting following an inferoseptal myocardial infarction and early onset of exertional angina. Four years later he was involved in a car accident during which he sustained an abdominal and thoracic trauma. Approximately 1 month after discharge, a ventricular septal defect was diagnosed by two-dimensional Doppler echocardiography with patency of all grafts at coronary angiography. Closure of the septal defect was successfully accomplished through a right atrial approach. Rupture of the ventricular septum following blunt chest trauma in a patient with previous myocardial revascularization has not been previously reported.
一名60岁患者在发生下壁心肌梗死并早期出现劳力性心绞痛后接受了冠状动脉三支搭桥术。四年后，他遭遇一场车祸，在此期间遭受了腹部和胸部创伤。出院后约1个月，二维多普勒超声心动图诊断出室间隔缺损，冠状动脉造影显示所有移植血管通畅。通过右心房入路成功完成了室间隔缺损的封堵。既往有心肌血运重建的患者在钝性胸部创伤后发生室间隔破裂此前未见报道。
