Left ventricular free wall rupture in acute fulminant myocarditis during long-term cardiopulmonary support

被引：5

作者：

Ito, M

Tanabe, Y

Suzuki, K

Kumakura, M

Kimura, K

Masani, F

Aizawa, Y

机构：

[1] Niigata Univ, Sch Med, Dept Internal Med 1, Niigata 9518510, Japan

[2] Niigata Prefectural Shibata Hosp, Dept Internal Med, Niigata, Japan

[3] Niigata Prefectural Chuo Hosp, Dept Internal Med, Niigata, Japan

来源：

JAPANESE CIRCULATION JOURNAL-ENGLISH EDITION | 1999年 / 63卷 / 05期

关键词：

cardiopulmonary support system; left ventricular free wall rupture; myocarditis;

D O I：

10.1253/jcj.63.397

中图分类号：

N09 [自然科学史]; B [哲学、宗教];

学科分类号：

01 ; 0101 ; 010108 ; 060207 ; 060305 ; 0712 ;

摘要：

A 77-year-old woman with acute myocarditis developed cardiogenic shock soon after admission and was given mechanical cardiopulmonary support. Echocardiography revealed severe global left ventricular hypokinesia. After 5 days of mechanical support, left ventricular wall motion gradually began to improve, but the patient died of cardiac tamponade on day 13. At necropsy, a free wall rupture was found where the apical akinetic area bordered the basal portion, an area which had shown better wall motion. Left ventricular free wall rupture in acute myocarditis has not been reported, hut this case indicates that it may occur in fulminant myocarditis when a cardiopulmonary support system is used.

引用

页码：397 / 399

页数：3

共 13 条

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