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[心室动脉瘤切除术和梗死切除术]

[Ventricular aneurysmectomy and infarctectomy].

作者信息

Barnard P M, de Wet Lubbe J J, Jansön P M, Lewis C M, Weich H F

出版信息

S Afr Med J. 1975 Mar 29;49(14):517-20.

PMID:1145372
Abstract

During a 22-month period, April 1972 to February 1974, 4 patients underwent ventricular aneurysmectomy at the Karl Bremer and Tygerberg Hospitals for congestive cardiac failure. In addition, 1 patient with an aneurysm and 3 patients with acute myocardial infarcts, ranging from 16 to 28 days postinfarction, underwent emergency surgery for recurrent malignant arrhythmias. The preoperative treatment, cardiac catheterisation data and surgical findings are outlined. The over-all survival rate is 75% for a mean follow-up period of 12,5 months (range 8-22 months). It is concluded that aneurysmectomy, for congestive cardiac failure, and infarctectomy, for life-threatening ventricular arrhythmias, are gratifying and worthwhile procedures.

摘要

在1972年4月至1974年2月的22个月期间,4例患者因充血性心力衰竭在卡尔·布雷默医院和泰格堡医院接受了心室壁瘤切除术。此外,1例患有动脉瘤的患者和3例急性心肌梗死患者(梗死发生后16至28天)因复发性恶性心律失常接受了急诊手术。文中概述了术前治疗、心导管检查数据和手术结果。平均随访期为12.5个月(范围8 - 22个月),总体生存率为75%。得出的结论是,对于充血性心力衰竭进行心室壁瘤切除术,以及对于危及生命的室性心律失常进行梗死切除术,都是令人满意且值得实施的手术。

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