摘要
心肌梗死后室间隔穿孔是急性心肌梗死少见但致命的并发症。心肌梗死后室间隔穿孔最有效的治疗策略是稳定血流动力学和封闭穿孔。目前治疗方法有内科药物治疗、心脏辅助装置、外科手术修补和经导管室间隔封堵术。现就心肌梗死后室间隔穿孔的发病特点、病理生理及治疗进展进行综述。
Post-infarction ventricular septal rupture(PIVSR)is a rare but lethal complication of acute myocardial infarction.Stabilizing hemodynamics and closing rupture are the most effective treatments to PIVSR.Clinical treatments include medical treatment,mechanical circulatory support,surgical repair and transcatheter closure of ventricular septal rupture.In this paper,we will review the incidence,pathophysiology and treatments of PIVSR.
作者
官洪山
GUAN Hongshan(Department of Cardiology,Renmin Hospital of Wuhan University,Wuhan 430000,Hubei,China)
出处
《心血管病学进展》
CAS
2020年第6期575-578,共4页
Advances in Cardiovascular Diseases
关键词
心肌梗死后室间隔穿孔
急性心肌梗死
外科修补
经导管室间隔封堵术
Post-infarction ventricular septal rupture
Acute myocardial infarction
Surgical repair
Transcatheter closure
