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Impact of cardiac magnet resonance imaging on management of ventricular septal rupture after acute myocardial infarction 被引量:2
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作者 Tobias Gassenmaier Armin Gorski +3 位作者 Ivan Aleksic Nikolas Deubner Frank Weidemann Meinrad Beer 《World Journal of Cardiology》 CAS 2013年第5期151-153,共3页
A 74-year-old man was admitted to the cardiac catheterization laboratory with acute myocardial infarction. After successful angioplasty and stent implantation into the right coronary artery, he developed cardiogenic s... A 74-year-old man was admitted to the cardiac catheterization laboratory with acute myocardial infarction. After successful angioplasty and stent implantation into the right coronary artery, he developed cardiogenic shock the following day. Echocardiography showed ventricular septal rupture. Cardiac magnet resonance imaging (MRI) was performed on the critically ill patient and provided detailed information on size and localization of the ruptured septum by the use of fast MRI sequences. Moreover, the MRI revealed that the ventricular septal rupture was within the myocardial infarction area, which was substantially larger than the rupture. As the patient's condition worsened, he was intubated and had intra-aortic balloon pump implanted, and extracorporeal membrane oxygenation was initiated. During the following days, the patient's situation improved, and surgical correction of the ventricular septal defect could successfully be performed. To the best of our knowledge, this case report is the first description of postinfarction ventricular septal rupture by the use of cardiac MRI in an intensive care patient with cardiogenic shock and subsequent successful surgical repair. 展开更多
关键词 CARDIAC magnetic resonance imaging VENTRICULAR SEPTAL rupture Myocardial INFARCTION surgical repair EXTRACORPOREAL membrane OXYGENATION
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