Septal rupture with right ventricular wall dissection after myocardial infarction

被引：19

作者：

Soriano C.J. ^{[1
]}

Pérez-Boscá J.L. ^{[1
]}

Canovas S. ^{[2
]}

Ridocci F. ^{[1
]}

Federico P. ^{[1
]}

Echanove I. ^{[1
]}

Paya R. ^{[1
]}

机构：

[1] Department of Cardiology, Consorcio Hospital General Universitario de Valencia, Valencia

[2] Department of Cardiac Surgery, Consorcio Hospital General Universitario de Valencia, Valencia

来源：

Cardiovascular Ultrasound | / 3卷 / 1期

关键词：

Septal rupture; myocardial infarction; transthoracic echocardiography; transesophageal echocardiography;

D O I：

10.1186/1476-7120-3-33

中图分类号：

学科分类号：

摘要：

Background: In patients with inferior myocardial infarction, septal rupture generally involves basal inferoposterior septum, and the communicating tract between left and right ventricle is often serpiginous with a variable degree of right ventricular wall extension. Right ventricular wall dissection following septal rupture related with previous myocardial infarction has been reported in a very few cases, in many of them this condition has been diagnosed in post-mortem studies. In a recent report long-term survival has been achieved after promptly echocardiographic diagnosis and surgical repair. Case Presentation: We present a case of a 59-year-old man who had a septal rupture with right ventricular wall dissection after inferior and right ventricular myocardial infarction. Transthoracic echocardiography, as first line examination, established the diagnosis, and prompt surgical repair allowed long-term survival in our patient. Conclusion: Outcomes after right ventricular intramyocardial dissection following septal rupture related to myocardial infarction has been reported to be dismal. Early recognition of this complication using transthoracic echocardiography at patient bedside, and prompt surgical repair are the main factors to achieve long-term survival in these patients. © 2005 Soriano et al; licensee BioMed Central Ltd.

引用

共 7 条

[1]

Crenshaw B.S., Granger C.B., Birnbaum Y., Pieper K.S., Morris D.C., Kleiman N.S., Vahanian A., Califf R.M., Topol E.J., Risk factors, angiographic patterns, and outcomes in patients with ventricular septal defect complicating acute myocardial infarction, Circulation, 101, pp. 27-32, (2000)

[2]

Pretre R., Ye Q., Grunenfelder J., Lachat M., Vogt P.R., Turina M.I., Operative results of "repair" of ventricular septal rupture after acute myocardial infarction, Am J Cardiol, 84, pp. 785-788, (1999)

[3]

Birnbaum Y., Fishbein M.C., Blanche C., Siegel R.J., Ventricular septal rupture after acute myocardial infartion, N Engl J Med, 347, pp. 1426-1432, (2002)

[4]

Scanu P., Grollier G., Lamy E., Commeau P., Valette B., Lognone T., Granger D., Galateau F., Potier J.C., Myocardial dissection in infarction of the right ventricle. Clinical, echocardiographic and pathological aspects, Arch Mal Coeur, 85, pp. 423-428, (1992)

[5]

Galrinho A., Loureiro J., Magalhaes M.P., Intramyocardial dissection with rupture of the right ventricle after an acute myocardial infarction-A rare complication diagnosed by transesophageal echocardiography, Eur J Echocardiography, 4, pp. 152-153, (2003)

[6]

Tighe D.A., Paul J.J., Maniet A.R., Flack III J.E., Mannion J.D., Rifkin R.D., Raichlen J.S., Survival in infarct related intramyocardial dissection. Importance of early echocardiography and prompt surgery, Echocardiography, 14, pp. 403-408, (1997)

[7]

Vargas-Barron J., Molina-Carrion M., Romero-Cardenas A., Roldan F.J., Medrano G.A., Avila-Casado C., Martinez-Rios M.A., Lupi-Herrera E., Zabalgoitia M., Risk factors, echocardiographic patterns, and outcomes in patients with acute ventricular septal rupture during myocardial infarction, Am J Cardiol, 95, pp. 1153-1158, (2005)

← 1 →