介入治疗急性心肌梗死合并室间隔穿孔六例  

Interventional therapy for acute myocardial infarction associated with postinfarction ventricular septal rupture: report of 6 cases

作　　者：周陵[1] 谢渡江[1] 董静[1] 吴成权[1] 田乃亮[1] 李小波[1] 王蓉[1] 陈绍良[1] 

机构地区：[1]南京医科大学附属南京医院,南京市第一医院,南京市心血管病医院,心内科

出　　处：《介入放射学杂志》2014年第1期62-64,共3页Journal of Interventional Radiology

摘　　要：目的评价急性心肌梗死（AMI）合并室间隔穿孔（VSR）经导管介入治疗的疗效。方法对6例明确诊断的患者按常规方法行VSR封堵治疗，并根据病情行冠状动脉介入治疗（PCI）。结果VSR发生至封堵的时间为3～30d。6例中2例封堵失败，住院期间因心源性休克死亡，余4例成功封堵的患者随访0．5～4年，心功能较术前改善。结论经导管介入治疗AMI合并VSR安全可行，可以改善预后。Objective To evaluate the curative effect of interventional therapy in treating acute myocardial infarction （AMI） associated with postinfarction ventrieular septal rupture （VSR）. Methods Transcatheter closure was performed in 6 patients with VSR which was caused by AMI. Percutaneous coronary intervention （PCI） was also carried out according to patient＇s clinical condition. The results were analyzed. Results The interval between the occurrence of VSR and the performance of transcatheter closure ranged from 3 to 30 days. Of the six patients, transcatheter closure failed in two, who died from cardiogenic shock during hospitalization. The remaining 4 patients experienced a successful transcatheter closure procedure, and their cardiac function was improved during the follow- up period lasting for 0.5 - 4 years. Conclusion Interventional transcatheter treatment is safe and feasible for acute myocardial infarction complicated by postinfarction ventricular septal rupture.

关 键 词：急性心肌梗死 室间隔穿孔 心脏导管插管术 

分 类 号：R542.22[医药卫生—心血管疾病]