Öz
Miyokard infarktüsü sonrası kardiyak rüptürler ventriküler serbest duvar rüptürü, ventriküler septal rüptür ve papiller kas rüptürü olarak sınıflandırılmaktadır. Bunlardan herhangi ikisinin bir arada görülmesi çift duvar rüptürü olarak isimlendirilip miyokard infarktüsünün oldukça nadir görülen bir komplikasyonudur. Çift duvar rüptürü gelişen hastaların çoğu hastaneye ulaşamadan kaybedilmektedir. Bu olgu sunumunda acil servise dispne şikayeti ile başvuran ve transtorasik ekokardiyografide interventriküler septumda rüptür ve inferior duvarda psödoanevrizma saptanan olgu takdim edilmiştir. Elektrokardiyogramı geçirilmiş inferior miyokard infaktüsü ile uyumlu olan hasta acil olarak cerrahi operasyona verilmiştir
Anahtar Kelimeler
Miyokard infaktüsü çift duvar rüptürü ventriküler septal rüptür serbest duvar rüptürü
Kaynakça
- ) Tanaka K, Sato N, Yasutake M, Takeda Tanaka S, Tamura K. Clinicopathological characteristics of 10 patients with rupture of both ventricular free wall and septum (double rupture) after acute myocardial infarction. J Nippon Med Sch 2003, 70:21- T, Ochi M
- ) Yuan S, Jing H, Lavee J. The mechanical complications of acute myocardial infarction: echocardiographic visualizations. Turkish vasc Surg. 2011;19:36. J Thorac Cardio
- ) Edwards BS, Edwards WD, Edwards JE: Ventricular septal rupture complicating acute myocardial infarction: identification of complex and simple types in 53 autopsied hearts. Am J Cardiol 1984, :1201-5. ) Mann rupture of both left ventricular free wall and ventricular septum (double rupture) infarction: analysis of seven patients studied at necropsy. Am J Cardiol ;60:722–4. acute myocardial
- ) Rentoukas EI, Lazaros GA, Kaoukis AP, Matsakas EP. Double rupture of interventricular septum and free wall of the left ventricle, as a mechanical complication infarction: a case report. J Med Case Rep ;2:85. acute myocardial ) Helmcke F, Mahan EF III, Nanda NC, Jain SP, Soto B, Kirklin JK, Pacifico AD: Two-dimensional echocardiography and Doppler color flow mapping in the diagnosis and prognosis of ventricular septal rupture. Circulation 1990, 81:1775
- ) Gassenmaier T, Gorski A, Aleksic I, Deubner N, Weidemann F, Beer M. Impact of cardiac magnet resonance imaging on management of ventricular septal rupture after acute myocardial infarction World J Cardiol 2013 May ; 5(5): 151-3.
- ) Blinc A, Noc M, Pohar B, Cernic N, Horvat M. Subacute rupture of the left ventricular free wall after acute myocardial infarction—three cases of long-term survival without emergency surgical repair. Chest 1996;109:565–7.
- Yazının alınma tarihi:05.03.2014 Kabül tarihi:01.07.2014 Online basım:14.08.2014
Öz
Cardiac ruptures after myocardial infarction are classified as ventricular free wall ruptures, ventricular septal ruptures and papillary muscle ruptures. A combination of any two is called as double wall rupture. Most of the patients complicated with double wall rupture are lost before hospital admisssion. In this paper, we described a patient who was admitted to our hospital with dyspnea and rupture of the interventricular septum and also a pseudoaneurysm at the inferior left ventricle wall was detected by transthoracic echocardiography. The patient, whose electrocardiogram was consistent with subacute inferior myocardial infarction, was immediately referred to surgery
Anahtar Kelimeler
myocardial infarction double myocardial wall rupture ventricular septal rupture free wall rupture
Kaynakça
- ) Tanaka K, Sato N, Yasutake M, Takeda Tanaka S, Tamura K. Clinicopathological characteristics of 10 patients with rupture of both ventricular free wall and septum (double rupture) after acute myocardial infarction. J Nippon Med Sch 2003, 70:21- T, Ochi M
- ) Yuan S, Jing H, Lavee J. The mechanical complications of acute myocardial infarction: echocardiographic visualizations. Turkish vasc Surg. 2011;19:36. J Thorac Cardio
- ) Edwards BS, Edwards WD, Edwards JE: Ventricular septal rupture complicating acute myocardial infarction: identification of complex and simple types in 53 autopsied hearts. Am J Cardiol 1984, :1201-5. ) Mann rupture of both left ventricular free wall and ventricular septum (double rupture) infarction: analysis of seven patients studied at necropsy. Am J Cardiol ;60:722–4. acute myocardial
- ) Rentoukas EI, Lazaros GA, Kaoukis AP, Matsakas EP. Double rupture of interventricular septum and free wall of the left ventricle, as a mechanical complication infarction: a case report. J Med Case Rep ;2:85. acute myocardial ) Helmcke F, Mahan EF III, Nanda NC, Jain SP, Soto B, Kirklin JK, Pacifico AD: Two-dimensional echocardiography and Doppler color flow mapping in the diagnosis and prognosis of ventricular septal rupture. Circulation 1990, 81:1775
- ) Gassenmaier T, Gorski A, Aleksic I, Deubner N, Weidemann F, Beer M. Impact of cardiac magnet resonance imaging on management of ventricular septal rupture after acute myocardial infarction World J Cardiol 2013 May ; 5(5): 151-3.
- ) Blinc A, Noc M, Pohar B, Cernic N, Horvat M. Subacute rupture of the left ventricular free wall after acute myocardial infarction—three cases of long-term survival without emergency surgical repair. Chest 1996;109:565–7.
- Yazının alınma tarihi:05.03.2014 Kabül tarihi:01.07.2014 Online basım:14.08.2014
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Research Article |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Eylül 2014 |
| Yayımlandığı Sayı | Yıl 2014 Cilt: 18 Sayı: 3 |