Muto Akihito, Nishibe Toshiya, Kondo Yuka, Sato Masato, Yamashita Mituru, Ando Motomi
Department of Surgery, Division of Cardiovascular and Thoracic Surgery, Fujita Health University, Toyoake, Japan.
Ann Thorac Surg. 2005 Jun;79(6):2143-5. doi: 10.1016/j.athoracsur.2003.12.033.
Left ventricular free-wall rupture is a well recognized complication of myocardial infarction and a frequent cause of death. The appropriate surgical management varies significantly depending on the condition of the tear and the presence of concomitant lesions. We present a case of oozing type postinfarction cardiac rupture that was treated successfully by a sutureless patch technique using a fibrin tissue-adhesive collagen fleece (TachoComb [Torii Pharmaceutical, Tokyo, Japan]). This represents a quick, effective, and safe option for dealing with oozing type myocardial rupture due to myocardial infarction.
左心室游离壁破裂是心肌梗死公认的并发症，也是常见的死亡原因。根据撕裂情况和伴随病变的存在，合适的手术处理方法差异很大。我们报告一例梗死后期心脏破裂渗血型病例，采用使用纤维蛋白组织黏合胶原绒（速即纱[日本东京鸟居制药公司]）的无缝合补片技术成功治疗。这是处理心肌梗死所致渗血型心肌破裂的一种快速、有效且安全的选择。
