-
摘要: 机械并发症是急性心肌梗死的严重并发症，主要包括急性二尖瓣反流、室间隔穿孔、心室游离壁破裂和室壁瘤形成。急性心肌梗死机械并发症的发生率较低，但病死率很高，并且治疗相当复杂。以经皮冠状动脉介入治疗为代表的心肌梗死再灌注治疗，在改善急性心肌梗死患者病死率及预后等方面有了长足进步，但在过去20余年间，尽管手术技术不断改进、机械循环辅助装置使用增加，急性心肌梗死机械并发症的病死率仍然居高不下。本文将回顾急性心肌梗死的机械并发症的主要治疗手段。Abstract: Mechanical complications are serious complications of myocardial infarction, including acute mitral regurgitation, interventricular septum perforation, ventricular aneurysm formation and ventricular free wall rupture. Overall, the incidence of mechanical complications is low, but the mortality rate is high and the treatment is quite complex. Emergency treatment for myocardial infarction, represented by percutaneous coronary intervention, has made significant progress in improving the mortality and prognosis of AMI patients. However, in the last 20 years, despite continuous improvement in surgical techniques and increased use of mechanical circulatory support devices, the mortality rate of mechanical complications remains really high.
-
-
[1] Damluji AA, van Diepen S, Katz JN, et al. Mechanical Complications of Acute Myocardial Infarction: A Scientific Statement From the American Heart Association[J]. Circulation, 2021, 144(2): e16-e35.
[2] Thiele H, Zeymer U, Neumann FJ, et al. Intraaortic balloon support for myocardial infarction with cardiogenic shock[J]. N Engl J Med, 2012, 367(14): 1287-1296. doi: 10.1056/NEJMoa1208410
[3] Ibanez B, James S, Agewall S, et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology(ESC)[J]. Eur Heart J, 2018, 39(2): 119-177. doi: 10.1093/eurheartj/ehx393
[4] Overtchouk P, Pascal J, Lebreton G, et al. Outcome after revascularisation of acute myocardial infarction with cardiogenic shock on extracorporeal life support[J]. EuroIntervention, 2018, 13(18): e2160-e2168. doi: 10.4244/EIJ-D-17-01014
[5] Ekanem E, Gattani R, Bakhshi H, et al. Combined Venoarterial ECMO and Impella-CP Circulatory Support for Cardiogenic Shock Due to Papillary Muscle Rupture[J]. JACC Case Rep, 2020, 2(14): 2169-2172. doi: 10.1016/j.jaccas.2020.08.007
[6] Jalil B, El-Kersh K, Frizzell J, et al. Impella percutaneous left ventricular assist device for severe acute ischaemic mitral regurgitation as a bridge to surgery[J]. BMJ Case Rep, 2017: bcr2017219749, doi: 10.1136/bcr-2017-219749
[7] Vandenbriele C, Balthazar T, Wilson J, et al. Left Impella®-device as bridge from cardiogenic shock with acute, severe mitral regurgitation to MitraClip®-procedure: a new option for critically ill patients[J]. Eur Heart J Acute Cardiovasc Care, 2021, 10(4): 415-421. doi: 10.1093/ehjacc/zuaa031
[8] Acker MA, Parides MK, Perrault LP, et al. Mitral-valve repair versus replacement for severe ischemic mitral regurgitation[J]. N Engl J Med, 2014, 370(1): 23-32. doi: 10.1056/NEJMoa1312808
[9] Kilic A, Sultan I, Chu D, et al. Mitral Valve Surgery for Papillary Muscle Rupture: Outcomes in 1342 Patients From The Society of Thoracic Surgeons Database[J]. Ann Thorac Surg, 2020, 110(6): 1975-1981. doi: 10.1016/j.athoracsur.2020.03.097
[10] Valle JA, Miyasaka RL, Carroll JD. Acute Mitral Regurgitation Secondary to Papillary Muscle Tear: Is Transcatheter Edge-to-Edge Mitral Valve Repair a New Paradigm?[J]. Circ Cardiovasc Interv, 2017, 10(6): e005050. doi: 10.1161/CIRCINTERVENTIONS.117.005050
[11] So CY, Kang G, Lee JC, et al. Transcatheter Edge-to-Edge Repair for Acute Mitral Regurgitation With Cardiogenic Shock Secondary to Mechanical Complication[J]. Cardiovasc Revasc Med, 2022, 45: 44-50. doi: 10.1016/j.carrev.2022.07.003
[12] Simard T, Vemulapalli S, Jung RG, et al. Transcatheter Edge-to-Edge Mitral Valve Repair in Patients With Severe Mitral Regurgitation and Cardiogenic Shock[J]. J Am Coll Cardiol, 2022, 80(22): 2072-2084. doi: 10.1016/j.jacc.2022.09.006
[13] Omar S, Morgan GL, Panchal HB, et al. Management of post-myocardial infarction ventricular septal defects: A critical assessment[J]. J Interv Cardiol, 2018, 31(6): 939-948. doi: 10.1111/joic.12556
[14] Arnaoutakis GJ, Zhao Y, George TJ, et al. Surgical repair of ventricular septal defect after myocardial infarction: outcomes from the Society of Thoracic Surgeons National Database[J]. Ann Thorac Surg, 2012, 94(2): 436-443. doi: 10.1016/j.athoracsur.2012.04.020
[15] Giblett JP, Matetic A, Jenkins D, et al. Post-infarction ventricular septal defect: percutaneous or surgical management in the UK national registry[J]. Eur Heart J, 2022, 43(48): 5020-5032. doi: 10.1093/eurheartj/ehac511
[16] Arnaoutakis GJ, Kilic A, Conte JV, et al. Longitudinal Outcomes After Surgical Repair of Postinfarction Ventricular Septal Defect in the Medicare Population[J]. Ann Thorac Surg, 2020, 109(4): 1243-1250. doi: 10.1016/j.athoracsur.2019.08.024
[17] Hobbs R, Korutla V, Suzuki Y, et al. Mechanical circulatory support as a bridge to definitive surgical repair after post-myocardial infarct ventricular septal defect[J]. J Card Surg, 2015, 30(6): 535-540. doi: 10.1111/jocs.12561
[18] Rob D, Špunda R, Lindner J, et al. A rationale for early extracorporeal membrane oxygenation in patients with postinfarction ventricular septal rupture complicated by cardiogenic shock[J]. Eur J Heart Fail, 2017, 19 Suppl 2: 97-103.
[19] Ancona MB, Regazzoli D, Mangieri A, et al. Post-infarct ventricular septal rupture: early Impella implantation to delay surgery and reduce surgical risk[J]. Cardiovasc Interv Ther, 2017, 32(4): 381-385. doi: 10.1007/s12928-016-0428-7
[20] Atik FA, Navia JL, Vega PR, et al. Surgical treatment of postinfarction left ventricular pseudoaneurysm[J]. Ann Thorac Surg, 2007, 83(2): 526-531. doi: 10.1016/j.athoracsur.2006.06.080
[21] Yeo TC, Malouf JF, Oh JK, et al. Clinical profile and outcome in 52 patients with cardiac pseudoaneurysm[J]. Ann Intern Med, 1998, 128(4): 299-305. doi: 10.7326/0003-4819-128-4-199802150-00010
[22] Prêtre R, Linka A, Jenni R, et al. Surgical treatment of acquired left ventricular pseudoaneurysms[J]. Ann Thorac Surg, 2000, 70(2): 553-557. doi: 10.1016/S0003-4975(00)01412-0
[23] Zhong Z, Song W, Zheng S, et al. Surgical and Conservative Treatment of Post-infarction Left Ventricular Pseudoaneurysm[J]. Front Cardiovasc Med, 2022, 9: 801511. doi: 10.3389/fcvm.2022.801511
[24] Sattar Y, Alraies MC. Ventricular Aneurysm[M]. In: StatPearls. Treasure Island(FL): StatPearls Publishing Copyright© 2023, StatPearls Publishing LLC.; 2023.
[25] Dahlin LG, Peterzén B. Impella used for hemostasis by left ventricular unloading, in a case with left ventricular posterior wall rupture[J]. Ann Thorac Surg, 2008, 85(4): 1445-1447. doi: 10.1016/j.athoracsur.2007.10.071
[26] Westaby S, Mehta V, Flynn F, et al. Mechanical left ventricular unloading to prevent recurrent myocardial rupture[J]. J Thorac Cardiovasc Surg, 2010, 140(1): e16-17. doi: 10.1016/j.jtcvs.2009.07.009
[27] Zhang ZP, Su X, Liu CW, et al. Use of intra-aortic balloon pump support for oozing-type cardiac rupture after acute myocardial infarction[J]. Am J Emerg Med, 2016, 34(1): 120. e1-3. doi: 10.1016/j.ajem.2015.05.054
[28] Matteucci M, Kowalewski M, De Bonis M, et al. Surgical Treatment of Post-Infarction Left Ventricular Free-Wall Rupture: A Multicenter Study[J]. Ann Thorac Surg, 2021, 112(4): 1186-1192. doi: 10.1016/j.athoracsur.2020.11.019
[29] Matteucci M, Formica F, Kowalewski M, et al. Meta-analysis of surgical treatment for postinfarction left ventricular free-wall rupture[J]. J Card Surg, 2021, 36(9): 3326-3333. doi: 10.1111/jocs.15701
[30] Joho S, Asanoi H, Sakabe M, et al. Long-term usefulness of percutaneous intrapericardial fibrin-glue fixation therapy for oozing type of left ventricular free wall rupture: a case report[J]. Circ J, 2002, 66(7): 705-706. doi: 10.1253/circj.66.705
[31] Terashima M, Fujiwara S, Yaginuma GY, et al. Outcome of percutaneous intrapericardial fibrin-glue injection therapy for left ventricular free wall rupture secondary to acute myocardial infarction[J]. Am J Cardiol, 2008, 101(4): 419-421. doi: 10.1016/j.amjcard.2007.09.086
[32] Suzuki A, Ishikawa J, Nemoto Y, et al. Acute left ventricular free wall rupture treated by percutaneous intra-pericardial fibrin-glue infusion[J]. J Echocardiogr, 2019, 17(2): 106-108. doi: 10.1007/s12574-018-0389-1
-
计量
- 文章访问数: 3312
- PDF下载数: 2379
- 施引文献: 0
下载: