心肌梗死后室间隔破裂并发心内夹层1例

Archives of clinical and medical case reports Pub Date : 2023-01-01 DOI:10.26502/acmcr.96550605

Jessica Y C Huang, Michael Bourne, B. Rosenfeld, Federico E. Mordini, Christian D. Nagy, Andrew Chen

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引用次数: 0

摘要

室间隔破裂(VSR)虽然罕见，但却是ST段抬高型心肌梗死(STEMI)的致命后果。本例患者表现为梗死后VSR和右心室(RV)心肌内剥离(IMD)，这是左心室游离壁破裂(LVFWR)的一种亚型。这个病例强调了及时诊断这些心肌梗死后(MI)并发症的重要性，以及目前手术和经皮修复的局限性。

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A Case of Post-Myocardial Infarction Ventricular Septal Rupture and Intramyocardial Dissection

Ventricular septal rupture (VSR), albeit rare, is a deadly consequence of ST elevation myocardial infarction (STEMI). Our patient described here presented with both post-infarction VSR and intramyocardial dissection (IMD) of the right ventricle (RV), a subtype of left ventricular free wall rupture (LVFWR). This case highlights the importance of prompt diagnosis of these post-myocardial infarction (MI) complications and the current limitations of surgical and percutaneous repair.

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Archives of clinical and medical case reports

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