急性心肌梗死后冠脉搭桥延迟手术修复室间隔破裂1例报告

Sultan Sarwar Parvez, M. R. Amin, Reazul Haque, Jalal Uddin
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引用次数: 0

摘要

室间隔破裂是急性心肌梗死后一种罕见但常危及生命的机械并发症。尽管手术干预具有挑战性,且与高死亡率和发病率相关,但它仍然是目前治疗的金标准。经皮装置关闭的VSR是一个选择的病人有合适的解剖和手术禁忌。在可存活的梗死组织的缺损边缘形成疤痕的择期手术前存活至少4周的经最佳医学管理的患者有最好的结果。我们在此报告一例急性心肌梗死后的VSR。急性心肌梗死后室间隔破裂约3周后手术成功,预后良好。心血管病杂志[j] 2022;15 (1): 100 - 105
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Delayed Surgical Repair of Ventricular Septal Rupture with CABG following Acute Myocardial Infraction- A Case Report
Ventricular septal rupture (VSR) is a rare but often life-threatening mechanical complication after acute myocardial infarction. Although surgical intervention is challenging and associated with high mortality and morbidity, but it is still now the gold standard treatment. Percutaneous device closure of VSR is an option in selected patients with suitable anatomy and when surgery is contraindicated. Optimally medically managed patients who survive at least 4 weeks before elective surgery to generate scar formation at the edges of the defect in a viable infarcted tissue have the greatest outcomes. Here we report a case of VSR following acute myocardial infarction. About 3 weeks after the occurrence of ventricular septal rupture following acute myocardial infraction, surgery was successfully performed with good outcome. Cardiovasc j 2022; 15(1): 100-105
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