【摘要】 目的：总结心肌梗死合并室间隔穿孔及介入性治疗失败病例的经验体会。方法：回顾性分析７个病例的手术治疗及临床效果，这些资料包括急性心肌梗死并室间隔穿孔及左室室壁瘤３例，经皮腔内冠状动脉成形术再狭窄１例，冠状动脉支架失败１例，激光成形术后冠状动脉瘤１例，合并主动脉瓣替换术１例。结果：室壁瘤切除３例，室间隔缺损修补术３例，术后早期１例死于肾功能衰竭，另１例死于２个月后循环呼吸功能衰竭。结论：对于急性心肌梗死并发症及介入性治疗失败的病例应尽早行冠状动脉搭桥术治疗。更多还原

【Abstract】 Objective: To investigate complications of postinfarction with ventricular septal defect,aneurysm of the left ventricle and delayed AC　bypass after PTCA, coronary artery aneurysm after　laser angioplasty,　 failure of coronary stent. Methods: 7 cases were analysed and discussed. Results: Early operative death in 1 with acute renal failure and another death from cardiac and respiratory failure 2 months after operation. Conclusion: Complications of acute myocardial infarction and failures of interventional therapy in the coronary artery disease were both operative indications.更多还原