二尖瓣置换术后左心室破裂的纤维蛋白密封剂

Fibrin sealant for left ventricular rupture after mitral valve replacement.

作者信息

Garcia-Villarreal Ovidio A, Casillas-Covarrubias Luis E

机构信息

Department of Cardiac Surgery, Hospital of Chest and Cardiovascular Disease, Number 34, Mexican Institute of Social Security, Monterrey, Mexico.

出版信息

Asian Cardiovasc Thorac Ann. 2008 Apr;16(2):152-3. doi: 10.1177/021849230801600215.

DOI:10.1177/021849230801600215

PMID:18381876

Abstract

Despite safer surgical procedures, left ventricular rupture remains a rare but potentially lethal complication of mitral valve replacement. The use of fibrin sealant has substantially improved the outcome of many difficult bleeding episodes after cardiac surgery. We describe a case of left ventricular rupture successfully treated with fibrin sealant combined with external Teflon-pledgeted sutures.

摘要

尽管手术操作更安全，但左心室破裂仍然是二尖瓣置换术罕见却可能致命的并发症。纤维蛋白密封剂的使用已显著改善了心脏手术后许多困难出血情况的治疗效果。我们描述了一例通过纤维蛋白密封剂联合外部带垫片的特氟龙缝线成功治疗的左心室破裂病例。