心梗后室间隔破裂经导管静脉入路闭合一例。

A Elsässer, H Möllmann, H Nef, T Dill, R Brandt, W Skwara, T Hennig, M Rau, C Hamm
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引用次数: 3

摘要

一个65岁的病人入院后持续室间隔破裂18天后,前心肌梗死。他患上了急性心力衰竭。考虑到在这种情况下手术入路的围手术期风险极高,我们决定采用经导管完全静脉入路封闭缺损。完全康复后,患者接受了心脏直视手术,包括主动脉冠状动脉搭桥、动脉瘤切除术和移除闭合装置。本病例证明经导管封堵梗死后室间隔破裂在技术上是可行和合适的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Transcatheter closure of a ruptured ventricular septum after myocardial infarction using a venous approach.

A 65-year old patient was admitted after having sustained a ventricular septum rupture 18 days after an anterior myocardial infarction. He developed acute heart failure. Given the extremely high perioperative risk in surgical approaches in this setting, we decided for a transcatheter closure of the defect with an exclusively venous approach. After a complete recovery, the patient underwent open heart surgery with aorto coronary bypass, aneurysmectomy, and removal of the closure device. This case demonstrates that transcatheter closure of a post infarction ventricular septum rupture is a technically feasible and suitable method.

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