Kwong R, Carere R G, Thompson C R, Lichtenstein S
Cardiology, St. Paul's Hospital, University of British Columbia, Vancouver, Canada.
Cathet Cardiovasc Diagn. 1998 Feb;43(2):190-4. doi: 10.1002/(sici)1097-0304(199802)43:2<190::aid-ccd18>3.0.co;2-s.
Ventricular rupture following acute myocardial infarction usually leads to hemopericardium and death from cardiac tamponade. We describe a patient who had cardiac rupture during direct angioplasty for reinfarction 3 days following an acute anterior myocardial infarction. In this instance, ventricular rupture presented as a severe form of reperfusion injury. The current literature on reperfusion injury and risk factors for cardiac rupture are discussed.
急性心肌梗死后的心室破裂通常会导致心包积血，并因心脏压塞而死亡。我们描述了一名患者，在急性前壁心肌梗死后3天进行直接血管成形术以治疗再梗死时发生了心脏破裂。在这种情况下，心室破裂表现为再灌注损伤的一种严重形式。本文讨论了当前关于再灌注损伤及心脏破裂危险因素的文献。
