Dupla ruptura srca nakon akutnog infarkta miokarda
Sažetak
Uvod. Dupla ruptura srca retka je komplikacija akutnog infarkta miokarda sa visokom stopom smrtnosti. Prikaz bolesnika. U radu je prikazana 67-godišnja bolesnica sa simptomima i znacima akutnog infarkta miokarda, kojoj je ehokardografski postavljena dijagnoza rupture septuma i prisustvo tromba i manjeg perikardnog izliva. Ubrzo po prijemu bolesnica je umrla. Obdukcijom je ustanovljena tamponada i dupla ruptura srca, ruptura slobodnog zida leve komore i ventrikularnog septuma, što je bilo uzrok smrti. Zaključak. Prikaz ove bolesnice ukazuje na potrebu procene bolesnika sa infarktom miokarda, ponavljanim bolovima u zoni grudi, ehokardiografskim znakovima izliva i prisustva tromba u perikardu u smislu dvostruke rupture srca.
Reference
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