Complications mécaniques de l’infarctus du myocarde récent
作者： Elsa Abitbol
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摘要: La rupture myocardique est une complication rare mais souvent fatale de l’infarctus du myocarde aigu recent. Les differentes formes anatomopathologiques sont la paroi libre ventricule gauche, septum interventriculaire, et des muscles papillaires. frequence actuelle ce type complications n’est que 1 a 2 % represente 15 20 causes mortalite hospitaliere precoce myocarde. prevalence diminue depuis l’avenement revascularisation precoce. Cependant, elle reste en general chez patients presentant un etat choc cardiogenique refractaire. Le diagnostic repose sur faisceau d’arguments cliniques (contexte d’infarctus recent, retard ou echec revascularisation, apparition d’un souffle systolique, troubles hemodynamiques) surtout donnees l’echocardiographie realisee par operateur entraine, au lit malade urgence. seul traitement reparation chirurgicale dans les plus brefs delais.
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