进展性心肌梗死后连续两例急性室间隔破裂的混合修复:1例报告

A. Makhdoom, A. Elassal
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引用次数: 0

摘要

背景:急性室间隔破裂是急性演变型心肌梗死的可怕并发症之一。尽管紧急处理是挽救生命的,但它仍然具有挑战性,特别是如果发生复发或残留的缺陷,死亡率很高。心脏疾病经导管介入技术的不断发展,为复杂心脏病例特别是心脏术后残余复杂病例的成功混合处理铺平了道路。病例介绍:我们在这里描述了一种成功的混合两阶段技术(手术和经导管入路),以关闭两个连续的急性室间隔破裂,75岁的女性表现为心源性休克后心肌梗死。结论:手术与经导管联合修复是治疗急性鼻中隔破裂的一种较好的方法,尤其对于初次闭合后出现的残留缺损或新缺损。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Hybrid Repair of Two Consecutive Acute Ventricular Septal Ruptures after Evolving Myocardial Infarction: Case Report
Background: Acute Ventricular septal rupture is one of dreadful complications of acute evolving myocardial infarction. Despite urgent management is lifesaving, it is still challenging and has a high risk of mortality particularly if recurrent or residual defects occurred. Evolving of skillfulness in transcatheter intervention of heart diseases paved the way for successful hybrid management of challenging cardiac cases specially for residual complicated cases post cardiac surgery. Case Presentation: We described here a successful hybrid two stage technique (surgical then transcatheter approach) to close two consecutive acute ventricular septal ruptures in 75 years old female presented with cardiogenic shock post evolving myocardial infarction. Conclusion: Hybrid repair by surgical and transcatheter interventions may be a good therapeutic modality for acute septal ruptures specially for residual or new defects after initial closure.
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