{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,6]],"date-time":"2022-04-06T03:31:55Z","timestamp":1649215915803},"reference-count":4,"publisher":"Akademiai Kiado Zrt.","issue":"35","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2008,8,1]]},"abstract":"<jats:p>A posztinfarktusos kamrai septumruptura az akut myocardialis infarctus sz\u00f6v\u0151dm\u00e9nyek\u00e9nt alakul ki az esetek 1\u20132%-\u00e1ban, \u00e9s a korai mortalit\u00e1s 5%-\u00e1t okozza. Ez a s\u00falyos sz\u00f6v\u0151dm\u00e9ny \u00e1ltal\u00e1ban k\u00e9t h\u00e9ten bel\u00fcl alakul ki az infarktust k\u00f6vet\u0151en, \u00e9s az id\u0151sebb betegeket \u00e9rinti. Besz\u00e1mol\u00f3nk egy k\u00e9s\u0151n kialakult septumdefektusr\u00f3l sz\u00f3l. \n <jats:italic>Esetismertet\u00e9s:<\/jats:italic>\n A 75 \u00e9ves f\u00e9rfi betegben a kamrai septumruptura t\u00f6bb mint 2 h\u00f3nappal egy kiterjedt inferoseptalis myocardialis infarctus ut\u00e1n alakult ki, amely a jobb coronaria elz\u00e1r\u00f3d\u00e1sa k\u00f6vetkezt\u00e9ben j\u00f6tt l\u00e9tre. A beteg t\u00f6bb mint 2 h\u00f3napos t\u00fcnetmentess\u00e9get k\u00f6vet\u0151en az infarktus ut\u00e1n ism\u00e9t k\u00f3rh\u00e1zi felv\u00e9telre ker\u00fclt jobbsz\u00edvf\u00e9l-el\u00e9gtelens\u00e9g t\u00fcnetei miatt. A diagn\u00f3zist az echokardiogr\u00e1fia, az arteria pulmonalis kat\u00e9terez\u00e9se \u00e9s ventrikulogr\u00e1fia biztos\u00edtotta. Koronarogr\u00e1fia is t\u00f6rt\u00e9nt. A beteget intraaortikus ballonpumpa v\u00e9delm\u00e9ben sz\u00e1ll\u00edtottuk a m\u0171t\u0151be. A septumdefektust k\u00f6r alak\u00fa politetrafluoroetil\u00e9n folttal z\u00e1rtuk, amelyet teflon-ellen-teflon \u00f6lt\u00e9sekkel varrtunk a defektus perem\u00e9hez. A szignifik\u00e1ns mitralisbillenty\u0171-el\u00e9gtelens\u00e9g miatt mitralis poz\u00edci\u00f3ba k\u00e9tlemezes, mechanikus m\u0171billenty\u0171t implant\u00e1ltunk a teljes billenty\u0171appar\u00e1tus megtart\u00e1s\u00e1val, a bal el\u00fcls\u0151 lesz\u00e1ll\u00f3 coronaria\u00e1gat vena saphena felhaszn\u00e1l\u00e1s\u00e1val revasculariz\u00e1ltuk. \n <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic>\n Az eset kapcs\u00e1n fontos hangs\u00falyoznunk, hogy lezajlott myocardialis infarctus eset\u00e9n, amennyiben a beteg k\u00e9s\u0151bb jobbsz\u00edvf\u00e9l-el\u00e9gtelens\u00e9g t\u00fcneteivel ker\u00fcl felv\u00e9telre, gondolni kell a k\u00e9s\u0151i kamrai septumdefektus kialakul\u00e1s\u00e1nak lehet\u0151s\u00e9g\u00e9re.<\/jats:p>","DOI":"10.1556\/oh.2008.28389","type":"journal-article","created":{"date-parts":[[2008,8,20]],"date-time":"2008-08-20T02:42:46Z","timestamp":1219200166000},"page":"1665-1667","source":"Crossref","is-referenced-by-count":3,"title":["Late postinfarction rupture of the interventricular septum"],"prefix":"10.1556","volume":"149","author":[{"given":"Aref","family":"Rashed","sequence":"first","affiliation":[{"name":"1 Zala Megyei K\u00f3rh\u00e1z Sz\u00edvseb\u00e9szeti Oszt\u00e1ly Zalaegerszeg Zr\u00ednyi M. u. 1. 8900"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e1s","family":"V\u00edgh","sequence":"additional","affiliation":[{"name":"1 Zala Megyei K\u00f3rh\u00e1z Sz\u00edvseb\u00e9szeti Oszt\u00e1ly Zalaegerszeg Zr\u00ednyi M. u. 1. 8900"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zolt\u00e1n","family":"N\u00e9meth","sequence":"additional","affiliation":[{"name":"1 Zala Megyei K\u00f3rh\u00e1z Sz\u00edvseb\u00e9szeti Oszt\u00e1ly Zalaegerszeg Zr\u00ednyi M. u. 1. 8900"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erzs\u00e9bet","family":"Feiler","sequence":"additional","affiliation":[{"name":"1 Zala Megyei K\u00f3rh\u00e1z Sz\u00edvseb\u00e9szeti Oszt\u00e1ly Zalaegerszeg Zr\u00ednyi M. u. 1. 8900"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nasri","family":"Alotti","sequence":"additional","affiliation":[{"name":"1 Zala Megyei K\u00f3rh\u00e1z Sz\u00edvseb\u00e9szeti Oszt\u00e1ly Zalaegerszeg Zr\u00ednyi M. u. 1. 8900"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00f3zsef","family":"Simon","sequence":"additional","affiliation":[{"name":"1 Zala Megyei K\u00f3rh\u00e1z Sz\u00edvseb\u00e9szeti Oszt\u00e1ly Zalaegerszeg Zr\u00ednyi M. u. 1. 8900"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"atypb1","doi-asserted-by":"crossref","first-page":"1006","DOI":"10.1016\/0003-4975(90)91151-Z","volume":"50","year":"1990","journal-title":"Ann. 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