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1. 急性心筋梗塞：器質的合併症acute myocardial infarction mechanical complications [show details]
… Rupture of the left ventricular free wall, rupture of the interventricular septum, and acute mitral regurgitation due to papillary muscle necrosis are three potentially lethal mechanical complications …
2. 急性心筋梗塞後の左室瘤および仮性左室瘤left ventricular aneurysm and pseudoaneurysm following acute myocardial infarction [show details]
…pseudoaneurysm, or false aneurysm, develops after an acute MI that is complicated by a ventricular free wall rupture that is contained by localized pericardial adhesions. As described below, the contained…
3. 心タンポナーデcardiac tamponade [show details]
…patients treated with percutaneous coronary intervention. The two major mechanisms are left ventricular free wall rupture and hemorrhagic pericarditis . Cardiac tamponade is a frequent complication of type…
4. 心筋梗塞の心膜合併症pericardial complications of myocardial infarction [show details]
…cardiac complications. Many complications are mechanical (eg, papillary muscle rupture, left ventricular free wall rupture, or ventricular septal defect) and are related to the location and extent of myocardial…
5. 急性ST上昇型心筋梗塞：血栓溶解療法の実施acute st elevation myocardial infarction the use of fibrinolytic therapy [show details]
…therapy improves outcomes compared with placebo in older individuals . The frequency of left ventricular free-wall rupture or major bleeding, and in particular intracranial hemorrhage, is higher in older…

Japanese Journal

手術の工夫ウレタンプレポリマー止血剤が奏効したsutureless法による急性心筋梗塞後blow-out型左室自由壁破裂

加賀谷聡,相田弘秋,千田佳史
胸部外科 = The Japanese journal of thoracic surgery 72(13), 1061-1065, 2019-12
NAID 40022080392

急性前壁梗塞の加療後,左室自由壁破裂（Left ventricular free wall repture：LVFWR）を来たした症例

阪哲彰,堀部永俊
高山赤十字病院紀要 = Japanese Red Cross Takayama Hospital (41), 14-16, 2018-03-01
… 急性前壁梗塞にて入院加療後、間もなく左室自由壁破裂(Left ventricular free wallrepture：LVFWR)を来たし救命困難となった症例を経験したので報告する。 …
NAID 120006501052

急性心筋梗塞後に重複破裂（左室自由壁破裂と心室中隔穿孔）を合併した1手術救命例

阪本瞬介,小野田幸治
日本心臓血管外科学会雑誌 47(5), 211-214, 2018
… <p>症例は76歳，女性．急性心筋梗塞発症当日にblow out型の左室自由壁破裂を発症し，IABP，PCPS使用下で破裂部修復術を施行した．術後7日目に心室中隔穿孔が判明したが，内科的治療を強化，継続したうえで術後18日目に心室中隔穿孔修復術（infarct exclusion法）を施行した．急性心筋梗塞後の機械的合併症（自由壁破裂・心室中隔穿孔・乳頭筋断裂）のうち2つ合併した病態は重複破裂と言われ，稀な病態であり，その予 …
NAID 130007495955