Park Choung Kyu, Park Pyo Won, Yang Ji-Hyuk, Lee Young Tak, Sung Kiick, Kim Wook Sung
Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Ann Thorac Surg. 2008 Sep;86(3):1000-2. doi: 10.1016/j.athoracsur.2008.01.082.
Posterior wall rupture of the left ventricle is a rare but lethal complication after mitral valve replacement. We treated a patient with repeated left ventricular rupture. Initially, type 1 left ventricular rupture was repaired in the intensive care unit, but persistent bleeding occurred after the repair. We treated the bleeding through an extended aortotomy and successfully repaired the repeated type 3 left ventricular rupture with bovine pericardium (Synovis Surgical Innovations Inc, St. Paul, MN).
左心室后壁破裂是二尖瓣置换术后一种罕见但致命的并发症。我们治疗了一名反复发生左心室破裂的患者。最初，在重症监护病房对1型左心室破裂进行了修复，但修复后出现持续出血。我们通过扩大主动脉切口治疗出血，并成功地用牛心包（Synovis Surgical Innovations Inc，明尼苏达州圣保罗）修复了反复出现的3型左心室破裂。
