经扩大主动脉切口行心室内补片修复术治疗二尖瓣置换术后反复左心室破裂

Intraventricular patch repair through an extended aortotomy for repeated left ventricular rupture after mitral valve replacement.

作者信息

Park Choung Kyu, Park Pyo Won, Yang Ji-Hyuk, Lee Young Tak, Sung Kiick, Kim Wook Sung

机构信息

Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

出版信息

Ann Thorac Surg. 2008 Sep;86(3):1000-2. doi: 10.1016/j.athoracsur.2008.01.082.

DOI:10.1016/j.athoracsur.2008.01.082

PMID:18721602

Abstract

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).

摘要

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。