成功手术治疗左心室游离壁破裂。

IF 0.7 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Cardiovascular Journal of Africa Pub Date : 2024-02-19 DOI:10.5830/CVJA-2024-002

Hakan Kara

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引用次数: 0

摘要

左心室游离壁破裂（LVFWR）是急性心肌梗死的一种罕见机械并发症。左心室游离壁破裂的临床疗效很差。直接或修补破裂区域以及无缝合手术是治疗 LVFWR 的方法。我们介绍了一名在高位侧心肌梗死后发生左心室纤维化的患者的手术治疗及其成功结果。LVFWR 的成功挽救仍较为罕见。经胸超声心动图、心肌显影超声心动图和胸部计算机断层扫描是诊断左心室纤维化还原的重要工具。这些患者通常会出现急性心脏填塞症状，需要立即治疗。

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Successful surgical treatment of left ventricular free wall rupture.

Left ventricular free wall rupture (LVFWR) is a rare mechanical complication of acute myocardial infarction. The clinical course of LVFWR is very poor. Direct or patch closure of the rupture area and sutureless procedures constitute the treatment for LVFWR. We present the surgical treatment of a patient who developed LVFWR after high lateral myocardial infarction, and its successful outcome. Successful salvage of LVFWR remains relatively rare. Transthoracic echocardiography, myocardial contrast echocardiography and thoracic computed tomography are important diagnostic tools for LVFWR. These patients usually present with acute cardiac tamponade symptoms requiring immediate treatment.

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来源期刊

Cardiovascular Journal of Africa CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

4-8 weeks

期刊介绍： The Cardiovascular Journal of Africa (CVJA) is an international peer-reviewed journal that keeps cardiologists up to date with advances in the diagnosis and treatment of cardiovascular disease. Topics covered include coronary disease, electrophysiology, valve disease, imaging techniques, congenital heart disease (fetal, paediatric and adult), heart failure, surgery, and basic science.