同时表现为左心室动脉瘤和室间隔缺损的心肌梗死

Q3 Medicine European journal of case reports in internal medicine Pub Date : 2024-02-28 eCollection Date: 2024-01-01 DOI:10.12890/2024_004145

Harshwardhan Khandait, Sherif Elkattawy, Jesus E Romero, Ana L Romero, Rachel Abboud, Yezin F Shamoon, Omar Elkattawy, Nour Elhouda Elassa, Gamal Musleh, Fayez E Shamoon, Meherwan Joshi

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引用次数: 0

摘要

急性心肌梗死可导致各种机械并发症，但随着再灌注疗法的出现，这些并发症已变得罕见。在这些并发症中，室间隔破裂（VSR）和左室动脉瘤（LVA）并不常见，但却危及生命，具有较高的发病率和死亡率。我们报告了一例罕见病例，患者为一名 67 岁男性，患有急性心肌梗死，同时出现心尖 LVA 和室间隔破裂：学习要点：心肌梗死的机械并发症，如室间隔破裂（VSR）和左室动脉瘤（LVA），虽然罕见却危及生命。室间隔缺损（VSD）需要立即手术关闭，而左心室瘤只有在胸痛或血栓栓塞等特殊情况下才考虑手术治疗。超声心动图和左心室造影等诊断工具在识别和描述这些并发症方面发挥着至关重要的作用，有助于及时做出治疗决定。

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Myocardial Infarction Presenting as Both Left Ventricular Aneurysm and Ventricular Septal Defect.

Acute myocardial infarction can result in various mechanical complications, although they have become rare with the advent of reperfusion therapies. Among these complications, ventricular septal rupture (VSR) and left ventricular aneurysm (LVA) are infrequent but life-threatening conditions associated with high morbidity and mortality. We present a rare case of a 67-year-old male with acute myocardial infarction who developed concomitant apical LVA and ventricular septal rupture.

Learning points: Mechanical complications of myocardial infarction, such as a ventricular septal rupture (VSR) and left ventricular aneurysm (LVA), are rare but life-threatening.Early diagnosis is critical. A ventricular septal defect (VSD) requires immediate surgical closure, while surgery for LVA is only considered in specific cases such as chest pain or thromboembolism.Diagnostic tools such as echocardiography and left ventriculography play a vital role in identifying and characterising these complications, enabling timely treatment decisions.

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来源期刊

European journal of case reports in internal medicine

CiteScore

2.10

自引率

0.00%

发文量

166

审稿时长

8 weeks

期刊介绍： The European Journal of Case Reports in Internal Medicine is an official journal of the European Federation of Internal Medicine (EFIM), representing 35 national societies from 33 European countries. The Journal''s mission is to promote the best medical practice and innovation in the field of acute and general medicine. It also provides a forum for internal medicine doctors where they can share new approaches with the aim of improving diagnostic and clinical skills in this field. EJCRIM welcomes high-quality case reports describing unusual or complex cases that an internist may encounter in everyday practice. The cases should either demonstrate the appropriateness of a diagnostic/therapeutic approach, describe a new procedure or maneuver, or show unusual manifestations of a disease or unexpected reactions. The Journal only accepts and publishes those case reports whose learning points provide new insight and/or contribute to advancing medical knowledge both in terms of diagnostics and therapeutic approaches. Case reports of medical errors, therefore, are also welcome as long as they provide innovative measures on how to prevent them in the current practice (Instructive Errors). The Journal may also consider brief and reasoned reports on issues relevant to the practice of Internal Medicine, as well as Abstracts submitted to the scientific meetings of acknowledged medical societies.