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[后天性室间隔缺损及破裂的外科治疗]

[Surgical treatment of acquired defects and ruptures of interventricular septum].

作者信息

Mikheev A A, Kranin D L, Zalesov V E, Kozhemiaka I V, Morozov D A, Tkachev E V, Karpun N A, Khrenov Iu V, D'iakov S V, Ovcharov R S, Morozov A V, Chernov M Iu

机构信息

Glavnyĭ voennyĭ klinicheskiĭ gospital' im. N. N. Burdenko, Moskva.

出版信息

Kardiologiia. 2003;43(7):31-4.

Abstract

Surgical repair of posttraumatic ventricular septal defects, aortic-right ventricular fistulas and postinfarction ruptures of interventricular septum was carried out in 15 patients aged 18-75 years. Methods of radical correction included suturing, plastic repair with synthetic and autopericardial patches, and amputation of cardiac apex. Procedures were performed 14 days - 12 months after myocardial infarction and 1-12 months after penetrating knife wounds of the chest and the heart. Duration of follow-up was from 1 month to 9.5 years. There were no cases of defect recanalization and deaths.

摘要

对15例年龄在18至75岁之间的患者进行了创伤后室间隔缺损、主动脉-右心室瘘和心肌梗死后室间隔破裂的外科修复。根治性矫正方法包括缝合、用合成材料和自体心包补片进行整形修复以及心脏尖部切除术。手术在心肌梗死后14天至12个月以及胸部和心脏穿透性刀伤后1至12个月进行。随访时间为1个月至9.5年。无缺损再通和死亡病例。

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